Morgan, Russell Charles

Morgan, Russell Charles is an individual health care provider with primary practice located at 5510 E State St , Rockford IL 61108-2381. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Morgan, Russell Charles can be contacted via phone (815) 395-4505.

Contact Information

Primary practice address
5510 E State St Rockford IL 61108-2381
Phone: (815) 395-4505
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Illinois

Profile Details

NPI number 1023087186
LBN Legal business name Morgan, Russell Charles
Credentials ATC/L
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 8th, 2007 - about 18 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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