Case, Russell J.

Case, Russell J. is an individual health care provider with primary practice located at 2113 Vanishing Trl , Edmond OK 73013-2756. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Case, Russell J. can be contacted via phone (405) 285-8477.

Contact Information

Primary practice address
2113 Vanishing Trl Edmond OK 73013-2756
Phone: (405) 285-8477
Fax: (405) 285-8499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4289 Oregon

Profile Details

NPI number 1780667261
LBN Legal business name Case, Russell J.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Dec 7th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780667261 NPPES
Oregon MEDICAID 299423

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