Russell, Jeanette L
Russell, Jeanette L is an individual health care provider with primary practice located at 9481 Bayshore Dr Nw Ste 201 , Silverdale WA 98383-8378. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Russell, Jeanette L can be contacted via phone (360) 328-5045.Contact Information
Primary practice address
9481 Bayshore Dr Nw Ste 201
Silverdale WA 98383-8378
Phone: (360) 328-5045
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | CB60822069 | Washington |
Profile Details
| NPI number | 1194233767 |
|---|---|
| LBN Legal business name | Russell, Jeanette L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2018 |
| Last updated | Jan 17th, 2018 - about 6 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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