Russell, Amy

Russell, Amy is an individual health care provider with primary practice located at 1100 W 6Th Ave , Gary IN 46402-1711. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Russell, Amy can be contacted via phone (219) 885-4264.

Contact Information

Primary practice address
1100 W 6Th Ave Gary IN 46402-1711
Phone: (219) 885-4264
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 27056440A Indiana

Profile Details

NPI number 1184186397
LBN Legal business name Russell, Amy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2019
Last updated Apr 5th, 2019 - about 5 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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