Larder, Russell

Larder, Russell is an individual health care provider with primary practice located at 4515 Martin Luther King Jr Way , Seattle WA 98108. He recently has only one registered license in Nursing Service Providers / Community Health, which is considered as his primary health care specialty. Larder, Russell can be contacted via phone (206) 320-5325.

Contact Information

Primary practice address
4515 Martin Luther King Jr Way Seattle WA 98108
Phone: (206) 320-5325
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X RN00138452 Washington

Profile Details

NPI number 1992053847
LBN Legal business name Larder, Russell
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2012
Last updated Sep 10th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992053847 NPPES
Washington Other RN00138452 RN

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