Individual provider · Type 1 NPI
Jacob D. Russell, DC
Chiropractor · Ewa Beach, HI
NPI number
1801511019
Active
Practice location
91-1001 Kaimalie St # 106
Ewa Beach, HI 96706-6247
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 1658 (HI) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
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- Scott DeaneChiropractor Ewa Beach, HI NPI 1538724018
About NPI 1801511019
Jacob D. Russell, DC's National Provider Identifier is 1801511019, issued on Oct 10, 2022. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Ewa Beach, HI. The record was last updated on Apr 28, 2026.