Organization Active NPI

Bloomer Chiropractic Office, Inc.

  • Chiropractor
  • Bloomer, WI
National Provider Identifier
1780748186
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2896 Issued in WI
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.