Russell, Bryan C
Russell, Bryan C is an sole proprietor health care provider with primary practice located at 651 Route 73 N Ste 304 , Marlton NJ 08053-3446. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Russell, Bryan C can be contacted via phone (856) 983-4499.Contact Information
Primary practice address
651 Route 73 N Ste 304
Marlton NJ 08053-3446
Phone: (856) 983-4499
Fax: (856) 983-0435
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | MC04977 | New Jersey |
Profile Details
| NPI number | 1558366781 |
|---|---|
| LBN Legal business name | Russell, Bryan C |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Dec 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558366781 | NPPES |
| New Jersey | Other | 5716020 | MULTIPLAN |
| New Jersey | Other | 1874679 | MULTIPLAN |
| New Jersey | Other | 5257680 | MULTIPLAN |
| New Jersey | Other | 662068 | MULTIPLAN |
| New Jersey | Other | 0741915000 | MULTIPLAN |
| New Jersey | Other | P2039337 | MULTIPLAN |
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