Provider Demographics
NPI:1285664284
Name:RUESCHER, STEVEN C (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:C
Last Name:RUESCHER
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 1:3500 QUEEN ST
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23707-3238
Mailing Address - Country:US
Mailing Address - Phone:757-399-7300
Mailing Address - Fax:
Practice Address - Street 1:3500 QUEEN ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23707-3238
Practice Address - Country:US
Practice Address - Phone:757-399-7300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104001334111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor