person
Russell Jeriah Prentice, DC
Chiropractor in Jenks, Oklahoma
NPI 1518955947

Russell Jeriah Prentice is a Chiropractor based in Jenks, OK. Russell Jeriah Prentice practices in Jenks, OK and has the professional credentials of DC. The NPI Number for Russell Jeriah Prentice is 1518955947 and holds a License No. 3725 (Oklahoma).

The current practice location address for Russell Jeriah Prentice is 9428 S Elwood Ave, Jenks, OK and can be reached out via phone at 918-296-0525 and via fax at 918-296-0526. You can also correspond with Russell Jeriah Prentice through the mailing address at 9428 S ELWOOD AVE, JENKS, OK - 74037-2317 (mailing address contact number: 918-296-0525).

Location: 9428 S Elwood Ave, Jenks, OK, 74037-2317
person
Provider Profile Details
NPI Number
1518955947
Provider Name
Russell Jeriah Prentice
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
9428 S Elwood Ave, Jenks, OK, 74037-2317
Phone Number
918-296-0525
Fax Number
918-296-0526
Provider Enumeration Date
10/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1104991280 01 GROUP NPI PRENTICE FAMILY
institution
Provider Business Practice Location Address Details
Address
9428 S Elwood Ave
City
State
Zip
74037-2317
Phone Number
918-296-0525
Fax Number
918-296-0526
person
Provider Business Mailing Address Details
Address
9428 S Elwood Ave
City
State
Zip
74037-2317
Phone Number
918-296-0525
Fax Number
918-296-0526
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
3725 (Oklahoma)
Definition
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.
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