Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUSSELL JERIAH PRENTICE, DC
DeactivatedRUSSELL JERIAH PRENTICE, DC is a Chiropractor healthcare provider located in JENKS, Oklahoma. NPI 1518955947 is deactivated in the NPPES registry. Verify at CMS.
Chiropractor · JENKS, OK
This NPI has been deactivated.
The record was deactivated on December 29, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1518955947
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 10, 2005 (1.2191780821918 yrs)
- Last Updated
- Jul 8, 2007
- Deactivated
- Dec 29, 2006
- License
-
3725 (OK)
Practice Information
- Address
-
9428 S ELWOOD AVESUITE 102JENKS, OK, 740372317Browse OK providers · Browse ZIP 74037
- Phone
- 9182960525
- Fax
- 9182960526
- Primary Specialty
-
Chiropractor
111N00000X
Other Chiropractor Providers in JENKS, OK
| Name | Credential | NPI |
|---|---|---|
| DR. CARLA H HARRIS | DC DICCP | 1053311837 |
| DR. PAUL EUGENE HARRIS | DC CCSP | 1669472726 |
| MRS. SARAH ELIZABETH ARNOLD | DC | 1134101322 |
| DR. TIM S HARRIS | DC | 1407941024 |
| DR. JOSHUA M WEDMAN | D.C. | 1811047046 |
| DR. WILLIAM KEITH GILMORE | D.C. | 1215109186 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.