Organization
RUSHIN CHIROPRACTIC PC
Active
Other names
Rushin Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK D RUSHIN DC (PRESIDENT)
(573) 785-5666
Entity
Organization
Contact information
Practice address
400 S 11TH ST, POPLAR BLUFF, MO 63901-5508
(573) 785-5566
Mailing address
PO BOX 1024, 400 S. 11TH STREET, POPLAR BLUFF, MO 63902-1024
(573) 785-5666
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
004561
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02895
UPIN
MO
05
—
752079806
—
MO
Enumeration date
02/19/2008
Last updated
02/20/2008
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