Russell, Brian Ray
Russell, Brian Ray is an individual health care provider with primary practice located at 107 Summer Ln , West Monroe LA 71291-3501. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Russell, Brian Ray can be contacted via phone (318) 396-1969.Contact Information
Primary practice address
107 Summer Ln
West Monroe LA 71291-3501
Phone: (318) 396-1969
Fax: (318) 396-1970
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 08166 | Louisiana |
Profile Details
NPI number | 1497039812 |
---|---|
LBN Legal business name | Russell, Brian Ray |
Credentials | DPT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 4th, 2011 |
Last updated | Oct 4th, 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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