Russell, Jennifer

Russell, Jennifer is an individual health care provider with primary practice located at 118 E Main St , Holdenville OK 74848-3208. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Russell, Jennifer can be contacted via phone (405) 379-5256.

Contact Information

Primary practice address
118 E Main St Holdenville OK 74848-3208
Phone: (405) 379-5256
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1356061469
LBN Legal business name Russell, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2022
Last updated Aug 30th, 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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