Russell, Caitlin Hope

Russell, Caitlin Hope is an individual health care provider with primary practice located at 1709 Chambers Dr Apt 24 , Matthews NC 28105-4781. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Russell, Caitlin Hope can be contacted via phone (704) 614-4540.

Contact Information

Primary practice address
1709 Chambers Dr Apt 24 Matthews NC 28105-4781
Phone: (704) 614-4540
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X LAT-4266 North Carolina

Profile Details

NPI number 1841819851
LBN Legal business name Russell, Caitlin Hope
Credentials LAT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2020
Last updated Apr 9th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841819851 NPPES
North Carolina Other 2255A2300X 22

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