Tagg, Russell S.
Tagg, Russell S. is an individual health care provider with primary practice located at 1045 Jadwin Ave Ste B1 , Richland WA 99352-3400. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Tagg, Russell S. can be contacted via phone (509) 943-0695.Contact Information
Primary practice address
1045 Jadwin Ave Ste B1
Richland WA 99352-3400
Phone: (509) 943-0695
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH00002726 | Washington |
Profile Details
| NPI number | 1558428821 |
|---|---|
| LBN Legal business name | Tagg, Russell S. |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558428821 | NPPES |
| Washington | Other | 36086 | DEPT OF LABOR AND INDUSTR |
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