Elite Spine And Sport Center

LBN: Bryan C Russell
Elite Spine And Sport Center is an health care organization with primary practice located at 651 Route 73 N Ste 304 , Marlton NJ 08053-3446. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Bryan C Russell can be contacted via phone (856) 983-4499, or through Russell, Bryan C via phone (856) 983-4499.

Contact Information

Primary practice address
651 Route 73 N Ste 304 Marlton NJ 08053-3446
Phone: (856) 983-4499
Fax: (856) 983-0435
Website:
Map and Directions
Authorized official contact:
Name: Russell, Bryan C Doctor of Chiropractic (DC)
Phone: (856) 983-4499

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1336193119
LBN Legal business name Bryan C Russell
DBA Doing business as Elite Spine And Sport Center
Authorized official Russell, Bryan C Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2006
Last updated Dec 28th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336193119 NPPES
New Jersey Other 1055389 CIGNA
New Jersey Other 2035367 CIGNA
New Jersey Other 2153560 CIGNA
New Jersey Other 0519113000 CIGNA

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