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Contact Information

RUSSELL K DAVIS, D.C.
318 E. MAIN ST.
HAVELOCK, NC28532-2214
 Phone: 252-444-3377
 Fax: 252-444-3529
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for RUSSELL K DAVIS · (Male)

NPI Number 1982607966
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 05/24/2005
Last updated 05/17/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 2801
  • NC Medicaid 890844V
  • NC Other 616120 ACN IDENTIFICATION #
  • NC Other 7167352 AETNA PROVIDER #
  • NC Other 0844V BCBS PROVIDER #
Hospital affiliation(s) Not Available
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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