Lee, Russell Adam

Lee, Russell Adam is an individual health care provider with primary practice located at 1118 Hampshire St , Quincy IL 62301-3027. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Lee, Russell Adam can be contacted via phone (212) 222-6550.

Contact Information

Primary practice address
1118 Hampshire St Quincy IL 62301-3027
Phone: (212) 222-6550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 096.003331 Illinois

Profile Details

NPI number 1174018618
LBN Legal business name Lee, Russell Adam
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2018
Last updated Jun 27th, 2018 - about 6 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