House, Russell T
House, Russell T is an individual health care provider with primary practice located at 60 W Sunbridge Dr , Fayetteville AR 72703-1822. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. House, Russell T can be contacted via phone (479) 695-1240.Contact Information
Primary practice address
60 W Sunbridge Dr
Fayetteville AR 72703-1822
Phone: (479) 695-1240
Fax: (479) 750-4843
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 13-45E | Arkansas |
Profile Details
| NPI number | 1114365293 |
|---|---|
| LBN Legal business name | House, Russell T |
| Credentials | LPE |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2013 |
| Last updated | Jul 13th, 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.
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