Russell E. St. Clair, D.C., LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

412 Issued in OH

Legal business name

RUSSELL E. ST. CLAIR, D.C., LLC

Practice address

1250 Ridgewood Dr
Bowling Green, OH 43402-2664

Phone

(419) 352-6172

Fax

(419) 352-8633

NPI assigned

Oct 19, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Russell St.Clair, D.C.

Title

Owner

Phone

(419) 352-6172

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1871782409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 RIDGEWOOD DR",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022664",
            "telephone_number": "419-352-6172",
            "fax_number": "419-352-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 RIDGEWOOD DR",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022664",
            "telephone_number": "419-352-6172",
            "fax_number": "419-352-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL E. ST. CLAIR, D.C., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "ST.CLAIR",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-352-6172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary J Ruble
• Hallie Ruby
• Sean-Michael Gordon Ruffner
• Briana Marie Ruiz-Bruce
• Morgan G Rupp, CNP
• Michael Rygula
• Danielle Marie Rywalski, D.C.
• Grace Julia Salinas
• Lindsey Leigh Saloiye
• Mariah Elizabeth Samberg, PHARMD, R.PH.

• Chiropractor in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.