Benjamin Isaac Soborowicz, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6249-12 Issued in WI

Practice address

3521 London Rd
Eau Claire, WI 54701-7861

Phone

(715) 834-6333

Fax

(715) 831-6374

NPI assigned

Nov 26, 2024

Last updated

Nov 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2024

Medicare assignment

May accept Medicare assignment

Group practices

Active Health Eau ClaireGroup PAC ID 2264655182, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Active Health Eau Claire

  • Chiropractor
  • Eau Claire, WI
  • NPI 1063832798
  Medicare reassignment Care Compare group NPD
• Judy K Rindal Soborowicz

  dba Active Health Chiropactic

  • Chiropractor
  • Eau Claire, WI
  • NPI 1083875249
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1003632894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 LONDON RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017861",
            "telephone_number": "715-834-6333",
            "fax_number": "715-831-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 LONDON RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547017861",
            "telephone_number": "715-834-6333",
            "fax_number": "715-831-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBOROWICZ",
        "first_name": "BENJAMIN",
        "middle_name": "ISAAC",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6249-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Jane Smugala, APNP
• Lindsay Marie Smutney, MA
• Kenneth Snart
• Gabriell Snider
• Andrew Snyder, PHARMD
• John F Soborowicz, DC
• Judy K Soborowicz, DC
• Pat Sogla, ATC
• Mary K Sokup, LMF
• Heather Somers

• Chiropractor in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.