Mikami, Russell
Mikami, Russell is an sole proprietor health care provider with primary practice located at 618 N Sullivan Rd Suite 3, Spokane Valley WA 99037-8528. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mikami, Russell can be contacted via phone (509) 928-3443.Contact Information
Primary practice address
618 N Sullivan Rd Suite 3
Spokane Valley WA 99037-8528
Phone: (509) 928-3443
Fax: (509) 891-5591
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 025208 PT00003614 | Washington |
Profile Details
| NPI number | 1225016488 |
|---|---|
| LBN Legal business name | Mikami, Russell |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 6th, 2006 |
| Last updated | Aug 13th, 2010 - 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 | 1225016488 | NPPES |
| Washington | MEDICAID | 7107627 |
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