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
Fax: (973) 754-3792
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437230133 NPPES
Other 7654551 AETNA
Other P3664391 AETNA
Other P3664398 AETNA
Other 2612526 AETNA

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