Erhardt, Russell W

Erhardt, Russell W is an individual health care provider with primary practice located at 9460 W Peoria Ave Suite F, Peoria AZ 85345. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Erhardt, Russell W can be contacted via phone (623) 878-8888.

Contact Information

Primary practice address
9460 W Peoria Ave Suite F Peoria AZ 85345
Phone: (623) 878-8888
Fax: (623) 776-3257
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3809 Arizona

Profile Details

NPI number 1891774493
LBN Legal business name Erhardt, Russell W
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891774493 NPPES
Arizona Other AZ0944090 BLUE CROSS BLUE SHIELD AZ

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