Jason D Russell in Fort Wayne - Chiropractor
Jason D Russell - NPI 1215113089
Jason D Russell is a Chiropractor in Fort Wayne, Indiana. Jason D Russell practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jason D Russell is 1215113089. The last update date is 2008-01-11.
Jason D Russell's current location address is 1114 W Cook Rd, Fort Wayne, Indiana. You can contact this provider via phone number 2604835588 and fax number 2604891819. The mailing address for Jason D Russell is 1114 W Cook Rd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason D Russell |
|---|---|
| Address | 1114 W Cook Rd, Fort Wayne, Indiana |
| Phone Number | 2604835588 |
| Fax Number | 2604891819 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1215113089 |
|---|---|
| Provider Enumeration Date | 2008-01-11 |
| Last Updated Date | 2008-01-11 |
Provider Mailing Address Detail
| Address | 1114 W Cook Rd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468253214 |
| Phone Number | 2604835588 |
| Fax Number | 2604891819 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 08002372A |
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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 identification code assigned to Jason D Russell by the Centers for Medicare & Medicaid Services?
The Jason D Russell has been issued the NPI (National Provider Identifier) 1215113089. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jason D Russell located?
The Jason D Russell is located at 1114 W Cook Rd, Fort Wayne, IN 468253214.
What is Jason D Russell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jason D Russell'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 1215113089 to Jason D Russell?
The Centers for Medicare & Medicaid Services assigned the 1215113089 to Jason D Russell on 2008-01-11.
As of what date were the details related to Jason D Russell most recently updated or revised?
The information pertaining to Jason D Russell, including its address, specialty, and other relevant details, was last updated or revised on 2008-01-11.
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