NPIMap

Organization Active NPI

Judy K Rindal Soborowicz

  • Chiropractor
  • Eau Claire, WI
National Provider Identifier
1083875249
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JUDY K RINDAL SOBOROWICZ
Doing business as
Active Health Chiropactic
Practice address
3521 London Rd
Eau Claire, WI 54701-7861
Phone
(715) 834-6333
NPI assigned
Jun 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Authorized official

Name
Judy K Soborowicz, DC
Title
Owner
Phone
(715) 834-6333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3521 London Rd
Eau Claire, WI 54701-7861

Mailing address

3521 London Rd
Eau Claire, WI 54701-7861
Phone (715) 834-6333

Other identifiers 3

IdentifierTypeStateIssuer
350050962OtherWIRAILROAD P10
350050961OtherWIMEDICARE RAILROAD P10
CB4904OtherWIRAILROAD MEDICARE

Other names 1

  • Active Health Chiropactic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1083875249",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDY K RINDAL SOBOROWICZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "SOBOROWICZ",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-834-6333",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD P10",
            "identifier": "350050962",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD P10",
            "identifier": "350050961",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB4904",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Health Chiropactic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.