Carlisle, Russell

Carlisle, Russell is an sole proprietor health care provider with primary practice located at 602 N Acadia Rd , Thibodaux LA 70301-4847. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Carlisle, Russell can be contacted via phone (985) 447-5500.

Contact Information

Primary practice address
602 N Acadia Rd Thibodaux LA 70301-4847
Phone: (985) 447-5500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X ATH.200033 Louisiana

Profile Details

NPI number 1578988218
LBN Legal business name Carlisle, Russell
Credentials ATC, LAT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2014
Last updated Mar 4th, 2014 - about 11 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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