Cleveland, Adam Russell
Cleveland, Adam Russell is an individual health care provider with primary practice located at 501 Forest Ln , Clemson SC 29631-2621. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Cleveland, Adam Russell can be contacted via phone (864) 654-2001.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 4033 | South Carolina |
Profile Details
| NPI number | 1952655433 |
|---|---|
| LBN Legal business name | Cleveland, Adam Russell |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 5th, 2012 |
| Last updated | Jul 27th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952655433 | NPPES |
| South Carolina | MEDICAID | TH2571 |
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