Russell, Bryan C

Russell, Bryan C is an sole proprietor health care provider with primary practice located at 651 Route 73 N Ste 304 , Marlton NJ 08053-3446. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Russell, Bryan C can be contacted 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:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X MC04977 New Jersey

Profile Details

NPI number 1558366781
LBN Legal business name Russell, Bryan C
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2005
Last updated Dec 28th, 2023 - about 2 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 1558366781 NPPES
New Jersey Other 5716020 MULTIPLAN
New Jersey Other 1874679 MULTIPLAN
New Jersey Other 5257680 MULTIPLAN
New Jersey Other 662068 MULTIPLAN
New Jersey Other 0741915000 MULTIPLAN
New Jersey Other P2039337 MULTIPLAN

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