Russell, Jeffrey Alan
Russell, Jeffrey Alan is an individual health care provider with primary practice located at Shape Clinic, Putnam Hall 304 96 E Union St, Athens OH 45701. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Russell, Jeffrey Alan can be contacted via phone (740) 593-1829.Contact Information
Primary practice address
Shape Clinic, Putnam Hall 304 96 E Union St
Athens OH 45701
Phone: (740) 593-1829
Fax: (740) 593-0289
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 000060285 | |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT003998 | Ohio |
Profile Details
| NPI number | 1912072257 |
|---|---|
| LBN Legal business name | Russell, Jeffrey Alan |
| Credentials | PHD, AT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2006 |
| Last updated | Jan 31st, 2019 - 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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