Jacquelyn M Russell (NPI# 1669560413, PAC ID# 2365512787) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1669560413 |
| PAC ID by PECOS | 2365512787 |
| Professional Enrollment ID | I20080528000286 |
| Full Name | Jacquelyn M Russell |
| Organization Legal Name | RUSSELL CHIROPRACTIC LLC |
| Address |
425 Bridge St Cornell WI 54732-8391 |
| Phone Number | 7152390909 |
| Gender | F |
| Medical School | PALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE |
| Graduation Year | 2000 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 2062699879 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 425 Bridge St, Cornell, WI 54732-8391 | 7152390909 | RUSSELL CHIROPRACTIC LLC |
| Organization Legal Name | RUSSELL CHIROPRACTIC LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keith A Levick | Chiropractic | Russell Chiropractic LLC | 425 Bridge St, Cornell, WI 54732-8391 |
| Street Address |
425 BRIDGE ST |
| City | CORNELL |
| State | WI |
| Zip | 54732-8391 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keith A Levick | Chiropractic | Russell Chiropractic LLC | 425 Bridge St, Cornell, WI 54732-8391 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Joy G Borton | Physical Therapy | 27477 Hwy 64 C, Cornell, WI 54732-5223 | |
| Victoria L Vande Zande | Internal Medicine | Sacred Heart Hospital of The Hospital Sisters 3rd Order of St Francis | 320 N 7th St, Cornell, WI 54732-8120 |
| Kelsey Meyer | Nurse Practitioner | Sacred Heart Hospital of The Hospital Sisters 3rd Order of St Francis | 320 N 7th St, Cornell, WI 54732-8120 |
| City | CORNELL |
| Zip Code | 54732 |
| Specialty | CHIROPRACTIC |
| City + Specialty | CORNELL + CHIROPRACTIC |
Please comment or provide details below to improve the information on Jacquelyn M Russell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.