Mitchell, Andrew Dane Russell

Mitchell, Andrew Dane Russell is an individual health care provider with primary practice located at 204 E Market St , Louisville KY 40202-1218. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Mitchell, Andrew Dane Russell can be contacted via phone (606) 224-6657.

Contact Information

Primary practice address
204 E Market St Louisville KY 40202-1218
Phone: (606) 224-6657
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 28266641A Indiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1972283844
LBN Legal business name Mitchell, Andrew Dane Russell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2023
Last updated Jul 24th, 2023 - about 2 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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