Russell, Ezekiel William

Russell, Ezekiel William is an sole proprietor health care provider with primary practice located at 92 Main St , Florence MA 01062-1499. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Rehabilitation. Chiropractic Providers / Chiropractor is his primary health care specialty. Russell, Ezekiel William can be contacted via phone (413) 586-2441.

Contact Information

Primary practice address
92 Main St Florence MA 01062-1499
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2794 Massachusetts
Chiropractic Providers / Rehabilitation 111NR0400X 2794 Massachusetts

Profile Details

NPI number 1225171523
LBN Legal business name Russell, Ezekiel William
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
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 1225171523 NPPES
Massachusetts Other 7763033 CIGNA HEALTH CARE

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