Russeau, Nicholas
Russeau, Nicholas is an sole proprietor health care provider with primary practice located at 214 E Elm Ave Ste 112 , Monroe MI 48162-2678. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Russeau, Nicholas can be contacted via phone (734) 242-4673.Contact Information
Primary practice address
214 E Elm Ave Ste 112
Monroe MI 48162-2678
Phone: (734) 242-4673
Fax: (734) 242-4676
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6401012141 | Michigan |
Profile Details
| NPI number | 1992096267 |
|---|---|
| LBN Legal business name | Russeau, Nicholas |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 21st, 2011 |
| Last updated | Aug 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992096267 | NPPES |
| Ohio | MEDICAID | 2604097 |
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