Russell Bradley Rottacker in Manteca - Chiropractor
Russell Bradley Rottacker - NPI 1215900238
Russell Bradley Rottacker is a Chiropractor in Manteca, California. Russell Bradley Rottacker practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Russell Bradley Rottacker is 1215900238. The last update date is 2023-01-18.
Russell Bradley Rottacker's current location address is 321 N. Main St, Manteca, California. You can contact this provider via phone number 2098248160 and fax number 2098248391. The mailing address for Russell Bradley Rottacker is 321 N. Main St, Manteca, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Bradley Rottacker |
|---|---|
| Address | 321 N. Main St, Manteca, California |
| Phone Number | 2098248160 |
| Fax Number | 2098248391 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1215900238 |
|---|---|
| Provider Enumeration Date | 2006-02-09 |
| Last Updated Date | 2023-01-18 |
Provider Mailing Address Detail
| Address | 321 N. Main St |
|---|---|
| City | Manteca |
| State | California (CA) |
| Post Code | 95336 |
| Phone Number | 2098248160 |
| Fax Number | 2098248391 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 15553 |
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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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What is the unique 10-digit identification code issued to Russell Bradley Rottacker by the Centers for Medicare & Medicaid Services?
The Russell Bradley Rottacker has been assigned the NPI (National Provider Identifier) 1215900238 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Russell Bradley Rottacker is physically located?
The Russell Bradley Rottacker is situated at the following address: 321 N. Main St, Manteca, CA 95336.
What is Russell Bradley Rottacker's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Russell Bradley Rottacker's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1215900238 to Russell Bradley Rottacker?
The Centers for Medicare & Medicaid Services assigned the 1215900238 to Russell Bradley Rottacker on 2006-02-09.
When was the Russell Bradley Rottacker's information last updated?
The Russell Bradley Rottacker's information was last updated on 2023-01-18.
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