Heller, Russell Gene
Heller, Russell Gene is an sole proprietor health care provider with primary practice located at 528 N 4Th St , David City NE 68632-1624. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Heller, Russell Gene can be contacted via phone (402) 367-6061.Contact Information
Primary practice address
528 N 4Th St
David City NE 68632-1624
Phone: (402) 367-6061
Fax: (402) 367-4220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 974 | Nebraska |
| Chiropractic Providers / Chiropractor | 111N00000X | 5802 | Missouri |
Profile Details
| NPI number | 1598766586 |
|---|---|
| LBN Legal business name | Heller, Russell Gene |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Jul 22nd, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598766586 | NPPES |
| Nebraska | MEDICAID | 10025923600 | |
| Nebraska | Other | 27355 |
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