Denomie, Russell John

Denomie, Russell John is an individual health care provider with primary practice located at 53585 Nokomis Rd , Ashland WI 54806-4272. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Denomie, Russell John can be contacted via phone (715) 682-7133.

Contact Information

Primary practice address
53585 Nokomis Rd Ashland WI 54806-4272
Phone: (715) 682-7133
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1063046431
LBN Legal business name Denomie, Russell John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2020
Last updated Feb 25th, 2020 - about 4 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.

Request for update

Popular Providers