National Provider Identifier Database

JACOB D RUSSELL, DC – NPI #1801511019
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


Contact Information

JACOB D RUSSELL, DC
91-1001 KAIMALIE ST # 106
EWA BEACH, HI96706-6247
Phone: 808-774-7817
Fax:
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for JACOB D RUSSELL

NPI Number 1801511019
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 10/10/2022
Last updated 04/28/2026 - About a month ago
Sole proprietor1 No
Identifiers
  • HI License #: 1658
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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