Jean, Ruth V

Jean, Ruth V is an individual health care provider with primary practice located at 26 S 2Nd St , Black River Falls WI 54615-1728. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Jean, Ruth V can be contacted via phone (715) 284-2915.

Contact Information

Primary practice address
26 S 2Nd St Black River Falls WI 54615-1728
Fax: (715) 284-7492
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1186 Wisconsin

Profile Details

NPI number 1255332706
LBN Legal business name Jean, Ruth V
Credentials DC DABCO
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255332706 NPPES
Wisconsin MEDICAID 38813400

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