Provider Demographics
NPI:1619002755
Name:RUEGER, JANET LOIS (DC)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:LOIS
Last Name:RUEGER
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 1:400 W. HERSEY ST.
Mailing Address - Street 2:STE. 3
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520
Mailing Address - Country:US
Mailing Address - Phone:541-690-6799
Mailing Address - Fax:
Practice Address - Street 1:400 W. HERSEY ST.
Practice Address - Street 2:STE. 3
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520
Practice Address - Country:US
Practice Address - Phone:541-690-6799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11804111N00000X
OR3767111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
R145027Medicare UPIN