Provider Demographics
NPI:1538350103
Name:RUSSELL E. TURNER DC PLLC
Entity type:Organization
Organization Name:RUSSELL E. TURNER DC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:E
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:239-248-7210
Mailing Address - Street 1:10201 ARCOS AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:33928-9459
Mailing Address - Country:US
Mailing Address - Phone:239-248-7210
Mailing Address - Fax:239-530-7002
Practice Address - Street 1:10201 ARCOS AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928-9459
Practice Address - Country:US
Practice Address - Phone:239-248-7210
Practice Address - Fax:239-530-7002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 7088111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty