Provider Demographics
NPI:1063110344
Name:RUPPEL, DEANNE (CHC)
Entity type:Individual
Prefix:
First Name:DEANNE
Middle Name:
Last Name:RUPPEL
Suffix:
Gender:F
Credentials:CHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:885 22 3/4 ST
Mailing Address - Street 2:
Mailing Address - City:CHETEK
Mailing Address - State:WI
Mailing Address - Zip Code:54728-9646
Mailing Address - Country:US
Mailing Address - Phone:715-790-1962
Mailing Address - Fax:
Practice Address - Street 1:885 22 3/4 ST
Practice Address - Street 2:
Practice Address - City:CHETEK
Practice Address - State:WI
Practice Address - Zip Code:54728-9646
Practice Address - Country:US
Practice Address - Phone:715-790-1962
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach