Russell Wellness Clinic in Bartlesville - Chiropractor
Russell Wellness Clinic - NPI 1104010537
Russell Wellness Clinic is a Chiropractor in Bartlesville, Oklahoma. Russell Wellness Clinic practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Russell Wellness Clinic is 1104010537. The last update date is 2011-08-10.
Russell Wellness Clinic's current location address is 2523 Se Washington Blvd., Bartlesville, Oklahoma. You can contact this provider via phone number 9183333363. The mailing address for Russell Wellness Clinic is 2523 Se Washington Blvd., Bartlesville, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Russell Wellness Clinic |
|---|---|
| Address | 2523 Se Washington Blvd., Bartlesville, Oklahoma |
| Phone Number | 9183333363 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Russell Owen Tracy |
| Credentials | DC |
| Telephone Number | 9183333363 |
NPI Number Detail
| NPI Number | 1104010537 |
|---|---|
| Provider Enumeration Date | 2007-08-29 |
| Last Updated Date | 2011-08-10 |
Provider Mailing Address Detail
| Address | 2523 Se Washington Blvd. |
|---|---|
| City | Bartlesville |
| State | Oklahoma (OK) |
| Post Code | 740068336 |
| Phone Number | 9183333363 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3166 |
|
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 |
|---|---|---|---|
| DF3888 | OK | PALMETTO GROUP |
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What is the unique identification code assigned to Russell Wellness Clinic by the Centers for Medicare & Medicaid Services?
The Russell Wellness Clinic has been issued the NPI (National Provider Identifier) 1104010537. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Russell Wellness Clinic's physical address?
The Russell Wellness Clinic is physically located at 2523 Se Washington Blvd., in the city of Bartlesville, OK, with the postal code 740068336.
What is Russell Wellness Clinic's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Russell Wellness Clinic is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
On what date did the Russell Wellness Clinic receive its 1104010537 assignment from the Centers for Medicare & Medicaid Services?
The Russell Wellness Clinic was assigned its 1104010537 by the Centers for Medicare & Medicaid Services on 2007-08-29.
When was the information related to Russell Wellness Clinic most recently updated or refreshed?
The details pertaining to the Russell Wellness Clinic, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-08-10.
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