Black River Chiropractic Center SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BLACK RIVER CHIROPRACTIC CENTER SC

Practice address

237 W Broadway St
Blair, WI 54616-9366

Phone

(608) 989-2020

Fax

(608) 989-2308

NPI assigned

Aug 3, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ruth V Jean, DC DABCO

Title

President

Phone

(715) 284-2915

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Black River Chiropractic Center SC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Black River Chiropractic Center SC

  • Chiropractor
  • Sparta, WI
  • NPI 1326049875
  NPD tax ID
• Black River Chiropractic Center, SC

  • Chiropractor
  • Neillsville, WI
  • NPI 1073514527
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian J Brost, DC

  • Chiropractor
  • Blair, WI
  • NPI 1427058700
  NPD (past)

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1396746186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 S 2ND ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546151726",
            "telephone_number": "715-284-2915",
            "fax_number": "715-284-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 W BROADWAY ST",
            "city": "BLAIR",
            "state": "WI",
            "postal_code": "546169366",
            "telephone_number": "608-989-2020",
            "fax_number": "608-989-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK RIVER CHIROPRACTIC CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JEAN",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-284-2915",
        "authorized_official_credential": "DC  DABCO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38996400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blair Chiropractic Center, LLC
• Alexa Brenner
• Brian J Brost, DC
• County of Trempealeau (Hickory Ridge Adult Family Home)
• CV Smith SC

• Chiropractor in Blair, WI
• Providers in Blair, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.