Russell, Beverly Jean

Russell, Beverly Jean is an sole proprietor health care provider with primary practice located at 120 E Market St Ste 1233 , Indianapolis IN 46204-3250. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Russell, Beverly Jean can be contacted via phone (317) 455-5307.

Contact Information

Primary practice address
120 E Market St Ste 1233 Indianapolis IN 46204-3250
Phone: (317) 455-5307
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1558913012
LBN Legal business name Russell, Beverly Jean
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2019
Last updated Jul 15th, 2019 - about 7 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.

Request for update

Popular Providers