Marvin, Kenneth Russell
Marvin, Kenneth Russell is an sole proprietor health care provider with primary practice located at 37 E Central Ave , Pearl River NY 10965-2306. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Marvin, Kenneth Russell can be contacted via phone (845) 735-4755.Contact Information
Primary practice address
37 E Central Ave
Pearl River NY 10965-2306
Phone: (845) 735-4755
Fax: (845) 735-1055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | X08559 | New York |
Profile Details
| NPI number | 1710094933 |
|---|---|
| LBN Legal business name | Marvin, Kenneth Russell |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Mar 20th, 2008 - about 16 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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