Moen, Russell

Moen, Russell is an sole proprietor health care provider with primary practice located at 7332 Highway 19 , Devils Lake ND 58301-8835. He recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as his primary health care specialty. Moen, Russell can be contacted via phone (701) 393-4461.

Contact Information

Primary practice address
7332 Highway 19 Devils Lake ND 58301-8835
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1326646894
LBN Legal business name Moen, Russell
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2020
Last updated Oct 15th, 2020 - about 4 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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