Redd, Russ C.

Redd, Russ C. is an individual health care provider with primary practice located at 1269 S Main St , Wake Forest NC 27587-9282. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Redd, Russ C. can be contacted via phone (919) 556-2014.

Contact Information

Primary practice address
1269 S Main St Wake Forest NC 27587-9282
Phone: (919) 556-2014
Fax: (919) 556-0996
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3405 North Carolina

Profile Details

NPI number 1245262328
LBN Legal business name Redd, Russ C.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jan 16th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245262328 NPPES
North Carolina Other 681277 ACN
North Carolina Other PHCS ACN
North Carolina Other 561294023 ACN
North Carolina Other 085WC ACN

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