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DEREK D. RUSSELL D.C. INC. NPI 1639369291


NPI Information

NPI: 1639369291
Provider Name: DEREK D. RUSSELL, D.C., INC.

Doing Business As: NIMMO WELLNESS

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2125 MCCOMAS WAY
SUITE 101
VIRGINIA BEACH, VA
ZIP 23456
Phone: (757) 427-7690
Get Directions

DEREK D. RUSSELL, D.C., INC. is a chiropractor in Virginia Beach, VA. The provider is 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. DEREK D. RUSSELL, D.C., INC. NPI is 1639369291. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Nimmo Wellness.

The provider's business location address is:

2125 MCCOMAS WAY
SUITE 101
VIRGINIA BEACH, VA
ZIP 23456-986
Phone: (757) 427-7690
Fax: (757) 427-7692

The provider's authorized official is Derek Duncan Russell .
The authorized official title is Chiropractor/director and has the following contact phone number (757) 427-7690.

The enumeration date for this NPI number is 7/30/2007 and was last updated on 7/30/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor0104555920VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100V075D21MEDICARE PINVIRGINIA
2U94047MEDICARE UPINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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