Rottacker, Russell Bradley
Rottacker, Russell Bradley is an sole proprietor health care provider with primary practice located at 321 N. Main St , Manteca CA 95336. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Rottacker, Russell Bradley can be contacted via phone (209) 824-8160.Contact Information
Primary practice address
321 N. Main St
Manteca CA 95336
Phone: (209) 824-8160
Fax: (209) 824-8391
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 15553 | California |
Profile Details
| NPI number | 1215900238 |
|---|---|
| LBN Legal business name | Rottacker, Russell Bradley |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Jan 18th, 2023 - about last year |
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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