Russell, Heidi Marie

Russell, Heidi Marie is an individual health care provider with primary practice located at 3545 Lincoln Way E Ste B , Massillon OH 44646-8624. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Russell, Heidi Marie can be contacted via phone (833) 510-4357.

Contact Information

Primary practice address
3545 Lincoln Way E Ste B Massillon OH 44646-8624
Phone: (833) 510-4357
Fax: (866) 460-2997
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.166110 Ohio

Profile Details

NPI number 1508383779
LBN Legal business name Russell, Heidi Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2017
Last updated Feb 14th, 2022 - about 3 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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