De Lap, Russell Donald

De Lap, Russell Donald is an individual health care provider with primary practice located at 12800 N Lake Shore Dr , Mequon WI 53097-2418. 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. De Lap, Russell Donald can be contacted via phone (262) 243-4323.

Contact Information

Primary practice address
12800 N Lake Shore Dr Mequon WI 53097-2418
Phone: (262) 243-4323
Fax: (262) 243-2969
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 4039 Wisconsin

Profile Details

NPI number 1104969336
LBN Legal business name De Lap, Russell Donald
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 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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