Organization
BLACK RIVER CHIROPRACTIC CENTER SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH V JEAN DC DABCO (PRESIDENT)
(715) 284-2915
Entity
Organization
Contact information
Practice address
237 W BROADWAY ST, BLAIR, WI 54616-9366
(608) 989-2020
(608) 989-2308
Mailing address
126 S 2ND ST, BLACK RIVER FALLS, WI 54615-1726
(715) 284-2915
(715) 284-7492
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38996400
—
WI
Enumeration date
08/03/2005
Last updated
07/21/2022
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