Russell Chiropractic Health P.C.
Chiropractor in Southgate, MI. Organization (NPI-2).
NPI number1932276946
StatusActive
Last updated in NPPESJan 16, 2008
Details
- NPI
- 1932276946
- Entity type
- Organization (NPI-2)
- Legal business name
- Russell Chiropractic Health P.C.
- Organization subpart
- No
- Enumeration date
- Nov 29, 2006
- Last updated
- Jan 16, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | HR004208 | MI | Yes |
Practice location
15195 Allen Rd.Southgate, MI 48195-2921
Phone 734-284-9800 · Fax 734-284-9088
Mailing address
15195 Allen RdSouthgate, MI 48195-2921
Phone 734-284-9800 · Fax 734-284-9088
Authorized official
Hubert William Russell
Doctorowner
7342849800
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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