Black River Chiropractic Center Sc

NPI #1396746186 in Blair, Wisconsin

Provider Information

NPI Number: 1396746186
Entity Type: Organization
Organization Name: Black River Chiropractic Center Sc
Primary Specialty: Chiropractor
Enumeration Date: Aug 3, 2005
Last Updated: Jul 21, 2022

Practice Location

Address: 237 W BROADWAY ST
City: Blair
State: Wisconsin
ZIP Code: 54616-9366
Phone: (608) 989-2020

Authorized Official

Name: RUTH V JEAN, DC DABCO
Title: PRESIDENT
Phone: (715) 284-2915

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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