Russ, Pamela Sullivan
Russ, Pamela Sullivan is an sole proprietor health care provider with primary practice located at 8420 Delaney Ct , Inver Grove Heights MN 55076-3425. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Russ, Pamela Sullivan can be contacted via phone (651) 455-3162.Contact Information
Primary practice address
8420 Delaney Ct
Inver Grove Heights MN 55076-3425
Phone: (651) 455-3162
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP3039 | Minnesota |
Profile Details
| NPI number | 1760663819 |
|---|---|
| LBN Legal business name | Russ, Pamela Sullivan |
| Credentials | LP, RN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2007 |
| Last updated | Mar 11th, 2008 - about 16 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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