Russell E. St. Clair, D.C., Llc in Bowling Green - Chiropractor
Russell E. St. Clair, D.C., Llc - NPI 1871782409
Russell E. St. Clair, D.C., Llc is a Chiropractor in Bowling Green, Ohio. Russell E. St. Clair, D.C., Llc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Russell E. St. Clair, D.C., Llc is 1871782409. The last update date is 2010-09-13.
Russell E. St. Clair, D.C., Llc's current location address is 1250 Ridgewood Dr, Bowling Green, Ohio. You can contact this provider via phone number 4193526172 and fax number 4193528633. The mailing address for Russell E. St. Clair, D.C., Llc is 1250 Ridgewood Dr, Bowling Green, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Russell E. St. Clair, D.C., Llc |
|---|---|
| Address | 1250 Ridgewood Dr, Bowling Green, Ohio |
| Phone Number | 4193526172 |
| Fax Number | 4193528633 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | St.Clair Russell |
| Credentials | D.C. |
| Telephone Number | 4193526172 |
NPI Number Detail
| NPI Number | 1871782409 |
|---|---|
| Provider Enumeration Date | 2007-10-19 |
| Last Updated Date | 2010-09-13 |
Provider Mailing Address Detail
| Address | 1250 Ridgewood Dr |
|---|---|
| City | Bowling Green |
| State | Ohio (OH) |
| Post Code | 434022664 |
| Phone Number | 4193526172 |
| Fax Number | 4193528633 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 412 |
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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 10-digit identification code issued to Russell E. St. Clair, D.C., Llc by the Centers for Medicare & Medicaid Services?
The Russell E. St. Clair, D.C., Llc has been assigned the NPI (National Provider Identifier) 1871782409 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Russell E. St. Clair, D.C., Llc's physical address?
The Russell E. St. Clair, D.C., Llc is physically located at 1250 Ridgewood Dr, in the city of Bowling Green, OH, with the postal code 434022664.
What is Russell E. St. Clair, D.C., Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Russell E. St. Clair, D.C., Llc'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 Russell E. St. Clair, D.C., Llc receive the assignment of its 1871782409 from the Centers for Medicare & Medicaid Services?
The Russell E. St. Clair, D.C., Llc was issued its 1871782409 by the Centers for Medicare & Medicaid Services on 2007-10-19.
As of what date were the Russell E. St. Clair, D.C., Llc's details last updated?
The information pertaining to the Russell E. St. Clair, D.C., Llc, including its address, specialty, and other details, was most recently updated on 2010-09-13.
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