Provider Demographics
NPI:1629364542
Name:RUBLEE LLC
Entity Type:Organization
Organization Name:RUBLEE LLC
Other - Org Name:WHOLE HEALTH COLORADO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBLEE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-933-8777
Mailing Address - Street 1:8174 S KIPLING PKWY
Mailing Address - Street 2:STE 130
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-6323
Mailing Address - Country:US
Mailing Address - Phone:303-933-8777
Mailing Address - Fax:303-932-8778
Practice Address - Street 1:8174 S KIPLING PKWY
Practice Address - Street 2:STE 130
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-6323
Practice Address - Country:US
Practice Address - Phone:303-933-8777
Practice Address - Fax:303-932-8778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6169111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty