Dominic A Russo is a Chiropractor in Boardman, Ohio. Dominic A Russo practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Dominic A Russo is 1548269996. The last update date is 2011-05-17.
Dominic A Russo's current location address is 1265 Boardman Canfield Rd, Boardman, Ohio. You can contact this provider via phone number 3307589400 and fax number 3307268676. The mailing address for Dominic A Russo is 1265 Boardman Canfield Rd, Boardman, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dominic A Russo |
|---|---|
| Address | 1265 Boardman Canfield Rd, Boardman, Ohio |
| Phone Number | 3307589400 |
| Fax Number | 3307268676 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1548269996 |
|---|---|
| Provider Enumeration Date | 2005-07-19 |
| Last Updated Date | 2011-05-17 |
Provider Mailing Address Detail
| Address | 1265 Boardman Canfield Rd |
|---|---|
| City | Boardman |
| State | Ohio (OH) |
| Post Code | 445124004 |
| Phone Number | 3307589400 |
| Fax Number | 3307268676 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2330 |
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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 |
|---|---|---|---|
| 460246 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Dominic A Russo by the Centers for Medicare & Medicaid Services?
The Dominic A Russo has been assigned the NPI (National Provider Identifier) 1548269996. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Dominic A Russo is located?
The Dominic A Russo is situated at the following address: 1265 Boardman Canfield Rd, Boardman, OH, 445124004.
What is Dominic A Russo's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Dominic A Russo is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1548269996 to Dominic A Russo?
The Centers for Medicare & Medicaid Services assigned the 1548269996 to Dominic A Russo on 2005-07-19.
When was the information regarding Dominic A Russo most recently updated?
The details pertaining to the Dominic A Russo, including its address, specialty, and other relevant information, were last refreshed on 2011-05-17.
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