Russell, Hannah
Russell, Hannah is an sole proprietor health care provider with primary practice located at 1115 W Chestnut St , Brockton MA 02301-7501. She recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as her primary health care specialty. Russell, Hannah can be contacted via phone (508) 559-0473.Contact Information
Primary practice address
1115 W Chestnut St
Brockton MA 02301-7501
Phone: (508) 559-0473
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | 9693650 | Massachusetts |
Profile Details
| NPI number | 1427564475 |
|---|---|
| LBN Legal business name | Russell, Hannah |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2017 |
| Last updated | Dec 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427564475 | NPPES |
| Massachusetts | Other | CDW960531941 | BLUE CROSS BLUE SHIELD |
Popular Providers
-
Roach, Hashim R
1115 W Chestnut St Ste 101 , Brockton MA 02301-7501 -
Reyes, Gisselle B
25 Christy Dr , Brockton MA 02301-1813 -
Wanna, Alana
1115 W Chestnut St Ste 3 , Brockton MA 02301-7501 -
Westland, Rachel
861 Court St , Brockton MA 02302-2631 -
Conti, Julie
1115 W Chestnut St , Brockton MA 02301-7501 -
Antoine, Ruthe
1115 W Chestnut St , Brockton MA 02301-7501 -
Hoar, Devin
103 Commercial St , Brockton MA 02302-3101 -
Riley, Schona
225 Quincy Ave , Brockton MA 02302-2864