Derhak, Russell S

Derhak, Russell S is an individual health care provider with primary practice located at 4630 97Th Ave N , Brooklyn Park MN 55443-4027. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Derhak, Russell S can be contacted via phone (763) 486-3945.

Contact Information

Primary practice address
4630 97Th Ave N Brooklyn Park MN 55443-4027
Phone: (763) 486-3945
Fax: (763) 425-2417
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4717 Minnesota

Profile Details

NPI number 1194856583
LBN Legal business name Derhak, Russell S
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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