Phillips, Russell S

Phillips, Russell S is an individual health care provider with primary practice located at 1212 N California St , Stockton CA 95202-1552. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is his primary health care specialty. Phillips, Russell S can be contacted via phone (209) 953-5436.

Contact Information

Primary practice address
1212 N California St Stockton CA 95202-1552
Phone: (209) 953-5436
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Community Health Worker 172V00000X California

Profile Details

NPI number 1184777492
LBN Legal business name Phillips, Russell S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Dec 21st, 2023 - about last year

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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