Active NPI
Bloomer Chiropractic Office, Inc.
- Chiropractor
- Bloomer, WI
National Provider Identifier
1780748186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2896
- Legal business name
- BLOOMER CHIROPRACTIC OFFICE, INC.
- Practice address
- 1217 14TH Ave
Suite B
Bloomer, WI 54724-1606 - Phone
- (715) 568-4771
- Fax
- (715) 568-4773
- NPI assigned
- Dec 20, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John G Rutsch, DC
- Title
- President
- Phone
- (715) 568-4771
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2896 | WI | Primary |
Addresses
Primary practice location
1217 14TH Ave
Suite B
Bloomer, WI 54724-1606
Mailing address
1217 14TH Ave
Suite B
Bloomer, WI 54724-1606
Phone (715) 568-4771
National Provider Directory
National Provider DirectoryLocations
1217 14th Ave
Ste B
Bloomer, WI 54724
Phone (715) 568-4771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1780748186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1217 14TH AVE",
"address_2": "SUITE B",
"city": "BLOOMER",
"state": "WI",
"postal_code": "547241606",
"telephone_number": "715-568-4771",
"fax_number": "715-568-4773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1217 14TH AVE",
"address_2": "SUITE B",
"city": "BLOOMER",
"state": "WI",
"postal_code": "547241606",
"telephone_number": "715-568-4771",
"fax_number": "715-568-4773"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOOMER CHIROPRACTIC OFFICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RUTSCH",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "715-568-4771",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "2896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomer, WI
- David R Blair, MD
- Abbigail Blake, PT, DPT
- Susan M Block, RD
- Bloomer Assisted Living LLC (Dove Healthcare - Bloomer Assisted Living)
- Bloomer Chiropractic LLC
- Bloomer Healthcare, LLC (Dove Healthcare- Bloomer)
- Bloomer Nursing and Rehab LLC (Meadowbrook at Bloomer)
- Bloomer Rehabilitation and Nursing Center LLC (Dove Healthcare - Bloomer)
- Bloomer School District
- Blue Diamond Family Dental SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.