Provider Demographics
NPI:1891878385
Name:RUSCHE, BRANDON (DC)
Entity Type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:
Last Name:RUSCHE
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 1:701 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:SIBLEY
Mailing Address - State:IA
Mailing Address - Zip Code:51249-1605
Mailing Address - Country:US
Mailing Address - Phone:712-754-4227
Mailing Address - Fax:712-754-3889
Practice Address - Street 1:701 3RD AVE
Practice Address - Street 2:
Practice Address - City:SIBLEY
Practice Address - State:IA
Practice Address - Zip Code:51249-1605
Practice Address - Country:US
Practice Address - Phone:712-754-4227
Practice Address - Fax:712-754-3889
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06895111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor