Arn, Glen Russel

Arn, Glen Russel is an individual health care provider with primary practice located at 2402 Broadway St , Vancouver WA 98663-3229. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Arn, Glen Russel can be contacted via phone (360) 521-0804.

Contact Information

Primary practice address
2402 Broadway St Vancouver WA 98663-3229
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA00023548 Washington

Profile Details

NPI number 1033443007
LBN Legal business name Arn, Glen Russel
Credentials LMP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2009
Last updated Sep 24th, 2009 - about 15 years 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.

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