Russell, Heather
Russell, Heather is an individual health care provider with primary practice located at 703 Main St , Paterson NJ 07503-2621. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Russell, Heather can be contacted via phone (973) 754-2526.Contact Information
Primary practice address
703 Main St
Paterson NJ 07503-2621
Phone: (973) 754-2526
Fax: (973) 754-3792
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 918318 | New Jersey |
Profile Details
NPI number | 1437230133 |
---|---|
LBN Legal business name | Russell, Heather |
Credentials | Registered Dietitian (RD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 18th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1437230133 | NPPES |
Other | 7654551 | AETNA | |
Other | P3664391 | AETNA | |
Other | P3664398 | AETNA | |
Other | 2612526 | AETNA |
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