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Organization

RUSSELL AND ROSS CHIROPRACTIC CENTRE

Active
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Organization

RUSSELL AND ROSS CHIROPRACTIC CENTRE

Active
Other names
Lighthouse Wellness Center, Chiropractic Health Centre
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALLAN S. ROSS D.C. (PRESIDENT)
(916) 786-6055
Entity
Organization

Contact information

Practice address
755 SUNRISE AVE, SUITE 115, ROSEVILLE, CA 95661-4500
(916) 786-6055
(916) 786-6452
Mailing address
755 SUNRISE AVE, SUITE 115, ROSEVILLE, CA 95661-4500
(916) 786-6055
(916) 786-6452

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC24580
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P-00059778
RAILROAD MEDICARE
CA
Enumeration date
06/14/2007
Last updated
11/27/2018
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