Search › Indiana › 111N00000X
Jason Russell, DC
NPI 1215113089 · on the registry since 2008
Practice
- Address
- 1114 W Cook Rd
Fort Wayne, IN 46825 - Phone
- (260) 483-5588
- Fax
- (260) 489-1819
- Organisation at this address
- Edgewood Chiropractic Center Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-01-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana