Russell, Rodney Jay
Russell, Rodney Jay is an sole proprietor health care provider with primary practice located at 325 Miron Dr Ste 100 , Southlake TX 76092-7829. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Russell, Rodney Jay can be contacted via phone (817) 310-0393.Contact Information
Primary practice address
325 Miron Dr Ste 100
Southlake TX 76092-7829
Phone: (817) 310-0393
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 7252 | Texas |
Profile Details
| NPI number | 1457680886 |
|---|---|
| LBN Legal business name | Russell, Rodney Jay |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2009 |
| Last updated | Dec 14th, 2009 - about 15 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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