Carlson, Russell J

Carlson, Russell J is an individual health care provider with primary practice located at 2600 Oakland Ave , Elkhart IN 46517-1533. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Carlson, Russell J can be contacted via phone (574) 533-1234.

Contact Information

Primary practice address
2600 Oakland Ave Elkhart IN 46517-1533
Phone: (574) 533-1234
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1679791438
LBN Legal business name Carlson, Russell J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Jul 8th, 2007 - about 18 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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