Russell S Schierling, DC

Individual provider Active NPI Chiropractor · Mountain View, MO

NPI 1366534455 · NPPES record last updated Sep 27, 2013

Key facts

NPI
1366534455
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
CE006013 (MO)
Practice address
1219 Hwy 17 South
Mountain View, MO 65548
Phone
(417) 934-6337
Fax
(417) 934-6277
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20081117000254 MO Practitioner - Chiropractic 1658431937 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
CE006013MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Schierling Chiropractic, LLC Chiropractor Current
since Aug 15, 2009
Accepting new patients

Locations

1219 S State Route 17
Mountain View, MO 65548
Phone (417) 934-5800

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CE006013 MO Yes

Addresses

Primary practice location

1219 Hwy 17 South
Mountain View, MO 65548

Mailing address

1219 South State Route Hwy 17
Mountain View, MO 65548
Phone (417) 934-6337

Other names

  • Tracy L Trude Other name

Other providers in Mountain View, MO

All providers in Mountain View, MO · Chiropractor in Missouri

Sources for this page

Verify at the official NPI Registry.