Provider Demographics
NPI:1225445711
Name:RUBINSTEIN, RUVAYN YOSEF (DC)
Entity Type:Individual
Prefix:
First Name:RUVAYN
Middle Name:YOSEF
Last Name:RUBINSTEIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2133 CROOKS RD.
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-5316
Mailing Address - Country:US
Mailing Address - Phone:989-832-7535
Mailing Address - Fax:989-832-1631
Practice Address - Street 1:2133 CROOKS RD.
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-5316
Practice Address - Country:US
Practice Address - Phone:989-832-7535
Practice Address - Fax:989-832-1631
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-16
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010190111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor