Russ, Nicole

Russ, Nicole is an individual health care provider with primary practice located at 835 Springdale Dr Suite 200, Exton PA 19341-2841. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Russ, Nicole can be contacted via phone (610) 363-1488.

Contact Information

Primary practice address
835 Springdale Dr Suite 200 Exton PA 19341-2841
Fax: (484) 713-1030
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PC004579 Pennsylvania

Profile Details

NPI number 1134320260
LBN Legal business name Russ, Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2007
Last updated Jul 8th, 2007 - about 17 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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