Russell, Janet
Russell, Janet is an sole proprietor health care provider with primary practice located at 315 N Lakemont Ave Ste B, Winter Park FL 32792-3205. She recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as her primary health care specialty. Russell, Janet can be contacted via phone (407) 830-6412.Contact Information
Primary practice address
315 N Lakemont Ave Ste B
Winter Park FL 32792-3205
Phone: (407) 830-6412
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1346501236 |
|---|---|
| LBN Legal business name | Russell, Janet |
| Credentials | BS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2012 |
| Last updated | Jun 6th, 2012 - about 12 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 | 1346501236 | NPPES |
| Florida | MEDICAID | 593595260 |
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