Provider Demographics
NPI:1154891455
Name:GEORGE, DEBORAH K (DC)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:K
Last Name:GEORGE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:DEBORAH
Other - Middle Name:K
Other - Last Name:STUTTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:154 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:NEILLSVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:54456-1941
Mailing Address - Country:US
Mailing Address - Phone:715-743-3404
Mailing Address - Fax:
Practice Address - Street 1:154 E 5TH ST
Practice Address - Street 2:
Practice Address - City:NEILLSVILLE
Practice Address - State:WI
Practice Address - Zip Code:54456-1941
Practice Address - Country:US
Practice Address - Phone:715-743-3404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-29
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2078-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor