Russell Jeriah Prentice, DC

Chiropractor · Jenks, OK

Individual Active NPI Reactivated January 4, 2007

NPI number 1518955947

Practice location

9428 S Elwood Ave
Suite 102
Jenks, OK 74037-2317
Phone
(918) 296-0525
Fax
(918) 296-0526

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NPI record

NPI
1518955947
Entity type
Individual (Type 1)
Enumeration date
October 10, 2005
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 3725 OK

About Dr. Prentice

Russell Jeriah Prentice, DC is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 9428 S Elwood Ave, Suite 102, Jenks, OK 74037-2317. The NPI number 1518955947 was assigned on October 10, 2005 and the record was last updated on July 8, 2007.

Dr. Prentice lists a license in the registry: #3725 (OK) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Russell Jeriah Prentice, DC?

The NPI number is 1518955947.

What is the phone number of Dr. Prentice?

The phone number listed for the practice location is (918) 296-0525.

Where is Dr. Prentice located?

9428 S Elwood Ave, Suite 102, Jenks, OK 74037-2317.

What is the taxonomy code for Dr. Prentice?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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