Provider Demographics
NPI:1588678411
Name:PLUBELL, LARELLE CHERE (DC)
Entity Type:Individual
Prefix:
First Name:LARELLE
Middle Name:CHERE
Last Name:PLUBELL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7553 GREEN VALLEY RD.
Mailing Address - Street 2:
Mailing Address - City:PLACERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95667-3917
Mailing Address - Country:US
Mailing Address - Phone:530-642-0224
Mailing Address - Fax:530-642-0292
Practice Address - Street 1:7553 GREEN VALLEY RD.
Practice Address - Street 2:
Practice Address - City:PLACERVILLE
Practice Address - State:CA
Practice Address - Zip Code:95667-3917
Practice Address - Country:US
Practice Address - Phone:530-642-0224
Practice Address - Fax:530-642-0292
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 23092111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABG602ZMedicare PIN