Russell, Robert Alan

Russell, Robert Alan is an individual health care provider with primary practice located at 25 East Broad Street , Mount Vernon NY 10552. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Russell, Robert Alan can be contacted via phone (914) 699-6770.

Contact Information

Primary practice address
25 East Broad Street Mount Vernon NY 10552
Fax: (914) 664-0090
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X X2707C New York

Profile Details

NPI number 1104850684
LBN Legal business name Russell, Robert Alan
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 8th, 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.

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