Russell, C Thomas D
Russell, C Thomas D is an sole proprietor health care provider with primary practice located at 912 3Rd Ave Nw , Hickory NC 28601-4849. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Russell, C Thomas D can be contacted via phone (828) 328-2551.Contact Information
Primary practice address
912 3Rd Ave Nw
Hickory NC 28601-4849
Phone: (828) 328-2551
Fax: (828) 328-2955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 804 | North Carolina |
Profile Details
| NPI number | 1154346310 |
|---|---|
| LBN Legal business name | Russell, C Thomas D |
| Credentials | CH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Dec 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154346310 | NPPES |
| North Carolina | Other | 0194L | CNC |
| North Carolina | Other | 08779 | CNC |
| North Carolina | MEDICAID | 8908779 | CNC |
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