Russell D Edgar in Ocean Isle Beach - Chiropractor
Russell D Edgar - NPI 1366411720
Russell D Edgar is a Chiropractor in Ocean Isle Beach, North Carolina. Russell D Edgar practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Russell D Edgar is 1366411720. The last update date is 2007-07-08.
Russell D Edgar's current location address is 6934 Beach Dr Sw, Ocean Isle Beach, North Carolina. You can contact this provider via phone number 9105757809 and fax number 9105757810. The mailing address for Russell D Edgar is 6934 Beach Dr Sw, Ocean Isle Beach, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell D Edgar |
|---|---|
| Address | 6934 Beach Dr Sw, Ocean Isle Beach, North Carolina |
| Phone Number | 9105757809 |
| Fax Number | 9105757810 |
| Sole Proprietor | X |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1366411720 |
|---|---|
| Provider Enumeration Date | 2006-03-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6934 Beach Dr Sw |
|---|---|
| City | Ocean Isle Beach |
| State | North Carolina (NC) |
| Post Code | 284695797 |
| Phone Number | 9105757809 |
| Fax Number | 9105757810 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2207 |
|
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 |
|---|---|---|---|
| 7908776 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Russell D Edgar by the Centers for Medicare & Medicaid Services?
The Russell D Edgar has been assigned the NPI (National Provider Identifier) 1366411720 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Russell D Edgar is geographically located?
The Russell D Edgar is physically situated at the following location: 6934 Beach Dr Sw, Ocean Isle Beach, NC, 284695797.
What is Russell D Edgar's specialized field of practice, and what is the corresponding taxonomy classification code?
The Russell D Edgar's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
When was the Russell D Edgar's 1366411720 issued?
The Russell D Edgar's 1366411720 was issued on 2006-03-16.
As of what date was the information regarding Russell D Edgar, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Russell D Edgar, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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