Russell James Randall in Grass Valley - Chiropractor
Russell James Randall - NPI 1104988591
Russell James Randall is a Chiropractor in Grass Valley, California. Russell James Randall practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Russell James Randall is 1104988591. The last update date is 2012-08-24.
Russell James Randall's current location address is 227 Colfax Avenue, Grass Valley, California. You can contact this provider via phone number 5302737988 and fax number 5302737993. The mailing address for Russell James Randall is 227 Colfax Avenue, Grass Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell James Randall |
|---|---|
| Address | 227 Colfax Avenue, Grass Valley, California |
| Phone Number | 5302737988 |
| Fax Number | 5302737993 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1104988591 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2012-08-24 |
Provider Mailing Address Detail
| Address | 227 Colfax Avenue |
|---|---|
| City | Grass Valley |
| State | California (CA) |
| Post Code | 95945 |
| Phone Number | 5302737988 |
| Fax Number | 5302737993 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC0109140 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 109140 | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Russell James Randall by the Centers for Medicare & Medicaid Services?
The Russell James Randall has been issued the NPI (National Provider Identifier) 1104988591. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Russell James Randall's physical address?
The Russell James Randall is physically located at 227 Colfax Avenue, in the city of Grass Valley, CA, with the postal code 95945.
What is the Russell James Randall's area of specialization and corresponding taxonomy classification?
The Russell James Randall's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
When did Russell James Randall receive its 1104988591 assignment?
The Russell James Randall was assigned its 1104988591 on 2006-12-14, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Russell James Randall most recently updated or revised?
The information pertaining to Russell James Randall, including its address, specialty, and other relevant details, was last updated or revised on 2012-08-24.
NPI Number: 1972506228
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