Russell, Adam

Russell, Adam is an sole proprietor health care provider with primary practice located at Hc 67 Box 5 , Canadian OK 74425-9700. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Russell, Adam can be contacted via phone (918) 339-5800.

Contact Information

Primary practice address
Hc 67 Box 5 Canadian OK 74425-9700
Phone: (918) 339-5800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1932404092
LBN Legal business name Russell, Adam
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 21st, 2011
Last updated Jan 21st, 2011 - about 14 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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