Buskirk, Russel Damien

Buskirk, Russel Damien is an sole proprietor health care provider with primary practice located at 410 Foulk Rd Suite 105, Wilmington DE 19803-3820. 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 / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Buskirk, Russel Damien can be contacted via phone (302) 762-2285.

Contact Information

Primary practice address
410 Foulk Rd Suite 105 Wilmington DE 19803-3820
Phone: (302) 762-2285
Fax: (302) 762-2286
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CD-0000006 Delaware
Behavioral Health & Social Service Providers / Clinical 1041C0700X Q1-0000697 Delaware

Profile Details

NPI number 1619015179
LBN Legal business name Buskirk, Russel Damien
Credentials LCSW, LCDP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2007
Last updated Sep 25th, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619015179 NPPES
Delaware Other 2006603272 BUSINESS LICENSE

Popular Providers