NPI 1104988591 DR. RUSSELL JAMES RANDALL DC GRASS VALLEY CA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Russell James Randall - NPI: 1104988591

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. RUSSELL JAMES RANDALL
NPI Number: 1104988591
Entity Type Code: Individual (1)
Gender: M
Credentials: DC
License Number: DC0109140
Business Practice Address: 227 Colfax Avenue
Grass Valley, CA - 95945
Business Phone Number: 5302737988
Business Fax Number: 5302737993
Mailing Address: 227 Colfax Avenue,
GRASS VALLEY
State: CA
Postal Code: 95945
Phone Number: 5302737988
Fax Number: 5302737993
NPI Enumeration Date: 12/14/2006
NPI Last Update Date: 08/24/2012
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 111N00000X
License Number: DC0109140
Healthcare Provider Taxonomy:
(Secondary)
Y
State: CA
Taxonomy Type: Chiropractic Providers
Taxonomy Classification: Chiropractor
Taxonomy Specialization:
Taxonomy Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


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