Russell, Dale Joseph
Russell, Dale Joseph is an sole proprietor health care provider with primary practice located at 2820 Compton Rd , Wichita Falls TX 76309-4931. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Russell, Dale Joseph can be contacted via phone (940) 733-5879.Contact Information
Primary practice address
2820 Compton Rd
Wichita Falls TX 76309-4931
Phone: (940) 733-5879
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT1798 | Texas |
Profile Details
NPI number | 1043859358 |
---|---|
LBN Legal business name | Russell, Dale Joseph |
Credentials | MS, ATC, LAT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 3rd, 2020 |
Last updated | Jan 3rd, 2020 - about 4 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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