Rubert Chiropractic Clinic, S.c. | |
139 N Lake St, Hustisford, WI 53034 | |
(920) 349-3233 | |
(920) 349-3933 |
Full Name | Rubert Chiropractic Clinic, S.c. |
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Type | Facility |
Speciality | Chiropractor |
Location | 139 N Lake St, Hustisford, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1215003892 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 3728012 (Wisconsin) | Primary |
Provider Name | Paul D Rubert |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1528129905 PECOS PAC ID: 8729177498 Enrollment ID: I20071203000521 |
Provider Name | Jordan Mark Kluewer |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1003257254 PECOS PAC ID: 1951539824 Enrollment ID: I20140123000060 |
Mailing Address | Practice Location Address |
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Rubert Chiropractic Clinic, S.c. Po Box 325, Hustisford, WI 53034-0325 Ph: (920) 349-3233 | Rubert Chiropractic Clinic, S.c. 139 N Lake St, Hustisford, WI 53034 Ph: (920) 349-3233 |
Dr. Jordan Mark Kluewer, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 139 North Lake Street, Hustisford, WI 53034 Phone: 920-349-3233 | |
Dr. Paul David Rubert, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 215 S Wales St, Hustisford, WI 53034 Phone: 920-349-3233 Fax: 420-349-3933 |