Appleton, Russell
Appleton, Russell is an sole proprietor health care provider with primary practice located at 1121 N Olive Ave , Casa Grande AZ 85122-3418. He recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Adult Mental Health, Residential Treatment Facilities / Psychiatric Residential Treatment Facility, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is his primary health care specialty. Appleton, Russell can be contacted via phone (602) 618-3756.Contact Information
Primary practice address
1121 N Olive Ave
Casa Grande AZ 85122-3418
Phone: (602) 618-3756
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | BH7438 | Arizona |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | BH7438 | Arizona |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | BH7438 | Arizona |
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | BH7438 | |
| Residential Treatment Facilities / Psychiatric Residential Treatment Facility | 323P00000X | BH7438 | Arizona |
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | BH7438 | Arizona |
Profile Details
| NPI number | 1386380996 |
|---|---|
| LBN Legal business name | Appleton, Russell |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 6th, 2022 |
| Last updated | Jun 19th, 2024 - about 5 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386380996 | NPPES |
| Arizona | Other | BH7438 | DHS - LICENSE FOR BHRF |
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