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DR. RUSSELL EARL MCDANIEL D.C. NPI 1316951338


NPI Information

NPI: 1316951338
Provider Name: DR. RUSSELL EARL MCDANIEL, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
3301 N RANGE LINE RD
JOPLIN, MO
ZIP 64801
Phone: (417) 206-2225
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DR. Russell Earl Mcdaniel, D.C. is a chiropractor in Joplin, MO. 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. DR. Russell Earl Mcdaniel, D.C. NPI is 1316951338. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3301 N RANGE LINE RD
JOPLIN, MO
ZIP 64801-765
Phone: (417) 206-2225
Fax: (417) 206-2227

The enumeration date for this NPI number is 7/27/2006 and was last updated on 10/1/2013.


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
1111N00000XChiropractor4863KANSASNo
2111N00000XChiropractor6433MISSOURIYes

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
10000412251MEDICARE UPINMISSOURI
2062121MEDICARE ID-TYPE UNSPECIFIEDKANSAS
3062121MEDICARE UPINKANSAS

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: 4/28/2024

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