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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245527019 NPPES
Other 101Y00000X COUNSELOR

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