Garrison, Russell
Garrison, Russell is an individual health care provider with primary practice located at 80 Denslow Rd , East Longmeadow MA 01028-3103. 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. Garrison, Russell can be contacted via phone (413) 526-9969.Contact Information
Primary practice address
80 Denslow Rd
East Longmeadow MA 01028-3103
Phone: (413) 526-9969
Fax: (413) 526-9960
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 17474 | Massachusetts |
Profile Details
| NPI number | 1962656561 |
|---|---|
| LBN Legal business name | Garrison, Russell |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2008 |
| Last updated | Nov 10th, 2008 - about 16 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 | 1962656561 | NPPES |
| Massachusetts | Other | 28117 | HEALTH NEW ENGLAND |
| Massachusetts | Other | 043527497 | HEALTH NEW ENGLAND |
| Massachusetts | Other | 103355100 | HEALTH NEW ENGLAND |
| Massachusetts | Other | 043527497 | HEALTH NEW ENGLAND |
| Massachusetts | Other | 043527497 | HEALTH NEW ENGLAND |
| Massachusetts | Other | 043527497 | HEALTH NEW ENGLAND |
| Massachusetts | Other | 690675 | HEALTH NEW ENGLAND |
| Massachusetts | Other | 000000035264 | HEALTH NEW ENGLAND |
| Massachusetts | Other | 043527497 | HEALTH NEW ENGLAND |
| Massachusetts | Other | 972730 | HEALTH NEW ENGLAND |
| Massachusetts | Other | 043527 | HEALTH NEW ENGLAND |
| Massachusetts | MEDICAID | 9715568 | HEALTH NEW ENGLAND |
| Massachusetts | Other | 043527497 | HEALTH NEW ENGLAND |
| Massachusetts | Other | 043527497 | HEALTH NEW ENGLAND |
| Massachusetts | Other | 043527497 | HEALTH NEW ENGLAND |
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