Provider Demographics
NPI:1942248851
Name:RUPPEL, STEVEN C (DC)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:C
Last Name:RUPPEL
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 1:1220 6TH ST
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54403-3550
Mailing Address - Country:US
Mailing Address - Phone:715-298-3834
Mailing Address - Fax:715-298-3834
Practice Address - Street 1:3807 SCHOFIELD AVE
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:WI
Practice Address - Zip Code:54476-3748
Practice Address - Country:US
Practice Address - Phone:715-298-3834
Practice Address - Fax:715-298-3834
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4185-012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
109399OtherSECURITY HEALTH PLAN
WI369905246004OtherBCBSWI
WI38987300OtherMEDICAID GROUP
WIP00372545OtherRAILROAD MEDICARE
WI38966300Medicaid
WICB3715OtherRAILROAD MEDICARE GROUP
WI002370175Medicare ID - Type Unspecified
WI38987300OtherMEDICAID GROUP