Russell, Andrea Susan

Russell, Andrea Susan is an individual health care provider with primary practice located at 5410 California Ave Sw #203, Seattle WA 98136-1562. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Russell, Andrea Susan can be contacted via phone (206) 200-3595.

Contact Information

Primary practice address
5410 California Ave Sw #203 Seattle WA 98136-1562
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AC00002906 Washington

Profile Details

NPI number 1669538880
LBN Legal business name Russell, Andrea Susan
Credentials LAC, MACOM
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Aug 15th, 2011 - about 13 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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