Derek Duncan Russell in Virginia Beach - Chiropractor
Derek Duncan Russell - NPI 1922173822
Derek Duncan Russell is a Chiropractor in Virginia Beach, Virginia. Derek Duncan Russell practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Derek Duncan Russell is 1922173822. The last update date is 2007-07-30.
Derek Duncan Russell's current location address is 2125 Mccomas Way, Virginia Beach, Virginia. You can contact this provider via phone number 7574277690 and fax number 7574277692. The mailing address for Derek Duncan Russell is 2125 Mccomas Way, Virginia Beach, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Derek Duncan Russell |
---|---|
Address | 2125 Mccomas Way, Virginia Beach, Virginia |
Phone Number | 7574277690 |
Fax Number | 7574277692 |
Sole Proprietor | Y |
Credentials | D.C. |
NPI Number Detail
NPI Number | 1922173822 |
---|---|
Provider Enumeration Date | 2006-11-24 |
Last Updated Date | 2007-07-30 |
Provider Mailing Address Detail
Address | 2125 Mccomas Way |
---|---|
City | Virginia Beach |
State | Virginia (VA) |
Post Code | 234563986 |
Phone Number | 7574277690 |
Fax Number | 7574277692 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
---|---|
Taxonomy | 111N00000X |
Licence No | 104555920 |
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 |
---|---|---|---|
175426 | VA | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Derek Duncan Russell's 1922173822?
The Derek Duncan Russell's NPI (National Provider Identifier) Number is 1922173822. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Derek Duncan Russell's physical address?
The Derek Duncan Russell is physically located at 2125 Mccomas Way, in the city of Virginia Beach, VA, with the postal code 234563986.
What is Derek Duncan Russell's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Derek Duncan Russell is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1922173822 to Derek Duncan Russell?
The Centers for Medicare & Medicaid Services originally issued the 1922173822 to Derek Duncan Russell on 2006-11-24.
When was the information regarding Derek Duncan Russell most recently updated?
The details pertaining to the Derek Duncan Russell, including its address, specialty, and other relevant information, were last refreshed on 2007-07-30.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA