Organization
COLUMBUS CHIROPRACTIC CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN EDNA RUPP D.C. (OWNER)
(920) 623-1106
Entity
Organization
Contact information
Practice address
146 W MILL ST, COLUMBUS, WI 53925-1585
(920) 623-1106
(920) 623-1107
Mailing address
146 W MILL ST, COLUMBUS, WI 53925-1585
(920) 623-1106
(920) 623-1107
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3512-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39000400
—
WI
Enumeration date
05/22/2007
Last updated
11/14/2008
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