Provider Demographics
NPI:1861918377
Name:RUBOSKY CHIROPRACTIC & WELLNESS, LLC
Entity type:Organization
Organization Name:RUBOSKY CHIROPRACTIC & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:RUBOSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:330-967-4222
Mailing Address - Street 1:4559 BOARDMAN CANFIELD RD STE 840
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-8229
Mailing Address - Country:US
Mailing Address - Phone:1330-967-4222
Mailing Address - Fax:330-967-4223
Practice Address - Street 1:4559 BOARDMAN CANFIELD RD STE 840
Practice Address - Street 2:
Practice Address - City:CANFIELD
Practice Address - State:OH
Practice Address - Zip Code:44406-8229
Practice Address - Country:US
Practice Address - Phone:330-967-4222
Practice Address - Fax:330-967-4223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-16
Last Update Date:2017-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4488111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty