Provider Demographics
NPI:1184440703
Name:ZURBUCHEN, NOAH (DC)
Entity type:Individual
Prefix:
First Name:NOAH
Middle Name:
Last Name:ZURBUCHEN
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 1:1503 LARSON ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMER
Mailing Address - State:WI
Mailing Address - Zip Code:54724-1632
Mailing Address - Country:US
Mailing Address - Phone:715-568-4220
Mailing Address - Fax:715-568-4201
Practice Address - Street 1:1503 LARSON ST
Practice Address - Street 2:
Practice Address - City:BLOOMER
Practice Address - State:WI
Practice Address - Zip Code:54724-1632
Practice Address - Country:US
Practice Address - Phone:715-568-4220
Practice Address - Fax:715-568-4201
Is Sole Proprietor?:No
Enumeration Date:2024-11-27
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6251-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor