Russell, Mark Dale

Russell, Mark Dale is an sole proprietor health care provider with primary practice located at 5309 44Th St , Lubbock TX 79414-1321. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Russell, Mark Dale can be contacted via phone (806) 792-4041.

Contact Information

Primary practice address
5309 44Th St Lubbock TX 79414-1321
Phone: (806) 792-4041
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 5912 Texas
Chiropractic Providers / Chiropractor 111N00000X 1894 New Mexico
Chiropractic Providers / Chiropractor 111N00000X 928 Montana
Chiropractic Providers / Chiropractor 111N00000X 2622 Oklahoma

Profile Details

NPI number 1689671315
LBN Legal business name Russell, Mark Dale
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated Apr 1st, 2014 - about 12 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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