Provider Demographics
NPI:1588608400
Name:RUBIN, STEVEN J (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:J
Last Name:RUBIN
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 1:1001 N ELM ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1423
Mailing Address - Country:US
Mailing Address - Phone:336-275-0836
Mailing Address - Fax:336-275-5597
Practice Address - Street 1:1001 N ELM ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1423
Practice Address - Country:US
Practice Address - Phone:336-275-0836
Practice Address - Fax:336-275-5597
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2296111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC085TJOtherBCBS
NC89085TJMedicaid
NC085TJOtherBCBS
NC2457428Medicare ID - Type Unspecified