Hendricks, Russell G

Hendricks, Russell G is an individual health care provider with primary practice located at 259 Parkers Mill Rd , Somerset KY 42501-3152. 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. Hendricks, Russell G can be contacted via phone (606) 679-4782.

Contact Information

Primary practice address
259 Parkers Mill Rd Somerset KY 42501-3152
Phone: (606) 679-4782
Fax: (606) 679-4097
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1669079059
LBN Legal business name Hendricks, Russell G
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2020
Last updated Oct 8th, 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.

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