Buford, Russell

Buford, Russell is an sole proprietor health care provider with primary practice located at Corner Of Route N12 And N7 , Fort Defiance AZ 86504. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Buford, Russell can be contacted via phone (928) 729-8000.

Contact Information

Primary practice address
Corner Of Route N12 And N7 Fort Defiance AZ 86504
Phone: (928) 729-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 22220 North Carolina
Behavioral Health & Social Service Providers / Psychologist 103T00000X 5098 North Carolina

Profile Details

NPI number 1144687682
LBN Legal business name Buford, Russell
Credentials LP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2016
Last updated Nov 1st, 2019 - about 6 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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