Rutherford Chiropractic Neurology Center, PLLC
Organization Active NPI Neurology Chiropractor · Houston, MS
NPI 1811258528 · NPPES record last updated May 30, 2012
Key facts
- NPI
- 1811258528
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurology Chiropractor 111NN0400X
- License
- 1006 (MS)
- Legal business name
- RUTHERFORD CHIROPRACTIC NEUROLOGY CENTER, PLLC
- Practice address
- 332 E Madison St
Houston, MS 38851-2321 - Phone
- (662) 448-5747
- Fax
- (662) 448-5751
- NPI assigned
- May 30, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Joseph Lee Rutherford, D.C.
- Title
- President
- Phone
- (662) 448-5747
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120622000384 | MS | Part B Supplier - Clinic/Group Practice | 7214192343 |
Receives reassigned benefits from 1 practitioner Practice locations: Houston, MS |
National Provider Directory
Locations
332 E Madison St
Houston, MS 38851
Phone (662) 448-5747
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor |
111NN0400X | 1006 | MS | Yes |
Addresses
Primary practice location
332 E Madison St
Houston, MS 38851-2321
Mailing address
332 E Madison St
Houston, MS 38851-2321
Phone (662) 448-5747
Other providers in Houston, MS
- Progressive Health of Houston, LLC
- Progressive Wound Care Specialty LLC
- Renew Psychiatry LLC
- J. Michael Rhyne
- Brandon Rimmer
- Joseph Lee Rutherford
- Deborah Smith
- Southern Health Corp of Houston Inc
- Southern Health Corp of Houston Inc
- Southern Health Corp of Houston Inc
All providers in Houston, MS · Neurology Chiropractor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2012. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.