Martin, Russ Michael
Martin, Russ Michael is an individual health care provider with primary practice located at 2501 W 22Nd St , Sioux Falls SD 57105-1305. He recently has only one registered license in Other Service Providers / Health Educator, which is considered as his primary health care specialty. Martin, Russ Michael can be contacted via phone (605) 336-3230.Contact Information
Primary practice address
2501 W 22Nd St
Sioux Falls SD 57105-1305
Phone: (605) 336-3230
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Health Educator | 174H00000X |
Profile Details
NPI number | 1245527019 |
---|---|
LBN Legal business name | Martin, Russ Michael |
Credentials | MBA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 30th, 2011 |
Last updated | Jun 30th, 2011 - about 14 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 | 1245527019 | NPPES |
Other | 101Y00000X | COUNSELOR |
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