Nelson, Russell Glenn
Nelson, Russell Glenn is an sole proprietor health care provider with primary practice located at 2180 Johnson Ave , San Luis Obispo CA 93401-4513. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Nelson, Russell Glenn can be contacted via phone (805) 788-2524.Contact Information
Primary practice address
2180 Johnson Ave
San Luis Obispo CA 93401-4513
Phone: (805) 788-2524
Fax: (805) 788-2056
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
NPI number | 1124298732 |
---|---|
LBN Legal business name | Nelson, Russell Glenn |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 11th, 2008 |
Last updated | Oct 3rd, 2013 - about 11 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.
Popular Providers
-
Lynch, Michelle Lynn
285 South St. Suite M, San Luis Obispo CA 93401 -
Cooper, Patricia Ann
285 South St Suite M, San Luis Obispo CA 93401-5037 -
Graber, Starlene M
2180 Johnson Ave , San Luis Obispo CA 93401-4513 -
Estes, Kirk Ernest
2180 Johnson Ave , San Luis Obispo CA 93401-4558 -
Warren, Frank Anthony
2945 Mcmillan Ave Ste 136 , San Luis Obispo CA 93401-6774 -
Biberston, Brianna
3765 S. Higuera Suite 100, San Luis Obispo CA 93401 -
Gurrola, Robert
2945 Mcmillan Ave Ste 136 , San Luis Obispo CA 93401-6774 -
Murillo, Sofia Z
Highway 1 , San Luis Obispo CA 93409-5149