Russ C. Redd is a Chiropractor in Wake Forest, North Carolina. Russ C. Redd practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Russ C. Redd is 1245262328. The last update date is 2020-01-16.
Russ C. Redd's current location address is 1269 S Main St, Wake Forest, North Carolina. You can contact this provider via phone number 9195562014 and fax number 9195560996. The mailing address for Russ C. Redd is 1269 S Main St, Wake Forest, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Russ C. Redd |
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Address | 1269 S Main St, Wake Forest, North Carolina |
Phone Number | 9195562014 |
Fax Number | 9195560996 |
Sole Proprietor | N |
Credentials | D.C. |
NPI Number Detail
NPI Number | 1245262328 |
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Provider Enumeration Date | 2006-07-07 |
Last Updated Date | 2020-01-16 |
Provider Mailing Address Detail
Address | 1269 S Main St |
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City | Wake Forest |
State | North Carolina (NC) |
Post Code | 275879282 |
Phone Number | 9195562014 |
Fax Number | 9195560996 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 3405 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
681277 | NC | ACN | |
PHCS | NC | 9400767 | |
561294023 | NC | TAX ID# | |
085WC | NC | BLUE CROSS BLUE SHIELD/NC |
Post Comment/ Review Below
What is the Russ C. Redd's 1245262328?
The Russ C. Redd's NPI (National Provider Identifier) Number is 1245262328. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Russ C. Redd is physically located?
The Russ C. Redd is physically situated at the following address: 1269 S Main St, Wake Forest, NC, 275879282.
What is Russ C. Redd's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Russ C. Redd is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1245262328 to Russ C. Redd?
The Russ C. Redd received its 1245262328 assignment from the Centers for Medicare & Medicaid Services on 2006-07-07.
As of what date were the details related to Russ C. Redd most recently updated or revised?
The information pertaining to Russ C. Redd, including its address, specialty, and other relevant details, was last updated or revised on 2020-01-16.
NPI Number: 1376546309
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