Provider Demographics
NPI:1063627701
Name:RASSEL, ALBERT LAWRENCE (DC)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:LAWRENCE
Last Name:RASSEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:981 ESCONDIDO AVE
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92083-5243
Mailing Address - Country:US
Mailing Address - Phone:760-758-8880
Mailing Address - Fax:760-630-3041
Practice Address - Street 1:981 ESCONDIDO AVE
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083-5243
Practice Address - Country:US
Practice Address - Phone:760-758-8880
Practice Address - Fax:760-630-3041
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC12028111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor