| 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. |
|---|---|
| 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 |
|---|---|---|---|
| 1215003892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3728012 (Wisconsin) | Primary |
| Provider Name | Paul D Rubert |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1528129905 PECOS PAC ID: 8729177498 Enrollment ID: I20071203000521 |
| Provider Name | Jordan Mark Kluewer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1003257254 PECOS PAC ID: 1951539824 Enrollment ID: I20140123000060 |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |