Russell-Chase, Sharon Ann

Russell-Chase, Sharon Ann is an sole proprietor health care provider with primary practice located at 30 Haystack Rd E , Clifton Park NY 12065-6728. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Russell-Chase, Sharon Ann can be contacted via phone (518) 373-8667.

Contact Information

Primary practice address
30 Haystack Rd E Clifton Park NY 12065-6728
Phone: (518) 373-8667
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 361335-1 New York

Profile Details

NPI number 1013116813
LBN Legal business name Russell-Chase, Sharon Ann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2007
Last updated Oct 10th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013116813 NPPES
New York MEDICAID 02588452

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