Jack Douglas Rushin D.C.

NPI 1093899940 - Chiropractor - 111N00000X

NPI Details
NPI 1093899940
Gender Male
Enumeration Date 10/25/2006
Last Updated 01/09/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
400 S 11TH ST
POPLAR BLUFF MO, 63901-5508, US
Phone (573) 785-5666
Fax
Business Location
400 S 11TH ST
POPLAR BLUFF MO, 63901-5508, US
Phone (573) 785-5666
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Missouri
License Number 004561
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According to our database, Dr. Jack Douglas Rushin D.C. NPI is 1093899940, taxonomy code is 111N00000X and license number is 004561, license state is located at Missouri. Jack Douglas Rushin D.C. physically located at 400 S 11th St, Poplar Bluff MO, 63901-5508. NPI Number Jack Douglas Rushin D.C. has the Individual type.

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1093899940 NPI number is provided on an as is basis without warranty of any kind. 1093899940 is maintained by the National Plan & Provider Enumeration System. The contents of Jack Douglas Rushin D.C. are for informational purposes only.