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
Fax: (805) 788-2056
Website:

Health care specialties

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.

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