Russell, William Douglas
Russell, William Douglas is an sole proprietor health care provider with primary practice located at 2820 Missouri Ave , Saint Louis MO 63118-1641. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Russell, William Douglas can be contacted via phone (314) 773-1255.Contact Information
Primary practice address
2820 Missouri Ave
Saint Louis MO 63118-1641
Phone: (314) 773-1255
Fax: (314) 821-9889
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | 005402 | Missouri |
Profile Details
| NPI number | 1619077740 |
|---|---|
| LBN Legal business name | Russell, William Douglas |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 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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