Kim Rahuba Stetzel, D.C.
Individual provider Active NPI Chiropractor · Branchville, NJ
NPI 1194881391 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1194881391
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 38MC00280200 (NJ)
- Practice address
- 10 Newton Ave
Branchville, NJ 07826-5511 - Phone
- (973) 948-5556
- Fax
- (973) 948-2535
- NPI assigned
- Dec 29, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10 Newton Ave
Branchville, NJ 07826-5511
Phone (973) 948-5556
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060119000642 | NJ | Practitioner - Chiropractic | 0143244947 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Branchville Family Chiropractic, LLC | Chiropractor | Current |
Accepting new patients |
Locations
10 Newton Ave
Branchville, NJ 07826
Phone (973) 948-5556
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00280200 | NJ | Yes |
Addresses
Primary practice location
10 Newton Ave
Branchville, NJ 07826-5511
Mailing address
10 Newton Ave
Branchville, NJ 07826-5511
Phone (973) 948-5556
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1141978 | Other | AETNA INSURANCE ID |
Other providers in Branchville, NJ
- Scarc, Inc.
- Scarc, Inc.
- Jean Louise Schmidt
- Harsh Shah
- Arnold Allen Soldavin
- Katie Struble
- The Suite Tooth, LLC
- Mark Anthony Thogode
- Turtley Speech LLC
- Willowglen Academy-New Jersey, Inc.
All providers in Branchville, NJ · Chiropractor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.