Michael Russo is a Chiropractor in Branford, Connecticut. Michael Russo practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Michael Russo is 1891762837. The last update date is 2012-01-19.
Michael Russo's current location address is 400 West Main Strret, Branford, Connecticut. You can contact this provider via phone number 2034837778 and fax number 2034810234. The mailing address for Michael Russo is 400 West Main Strret, Branford, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Russo |
|---|---|
| Address | 400 West Main Strret, Branford, Connecticut |
| Phone Number | 2034837778 |
| Fax Number | 2034810234 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1891762837 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2012-01-19 |
Provider Mailing Address Detail
| Address | 400 West Main Strret |
|---|---|
| City | Branford |
| State | Connecticut (CT) |
| Post Code | 64053416 |
| Phone Number | 2034837778 |
| Fax Number | 2034810234 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 561 |
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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 |
|---|---|---|---|
| 561 | CT | STATE LICENSE |
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What is the unique identification code assigned to Michael Russo by the Centers for Medicare & Medicaid Services?
The Michael Russo has been issued the NPI (National Provider Identifier) 1891762837. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Michael Russo is located?
The Michael Russo is situated at the following address: 400 West Main Strret, Branford, CT, 64053416.
What is the Michael Russo's area of specialization and corresponding taxonomy classification?
The Michael Russo's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1891762837 to Michael Russo?
The Centers for Medicare & Medicaid Services originally issued the 1891762837 to Michael Russo on 2006-03-08.
As of what date were the Michael Russo's details last updated?
The information pertaining to the Michael Russo, including its address, specialty, and other details, was most recently updated on 2012-01-19.
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