Russell, Jonathan Nicholas

Russell, Jonathan Nicholas is an sole proprietor health care provider with primary practice located at 7500 Arroyo Cir Ste 180 , Gilroy CA 95020-7339. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Russell, Jonathan Nicholas can be contacted via phone (408) 859-6522.

Contact Information

Primary practice address
7500 Arroyo Cir Ste 180 Gilroy CA 95020-7339
Phone: (408) 859-6522
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1093382194
LBN Legal business name Russell, Jonathan Nicholas
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2021
Last updated Jun 7th, 2021 - about 4 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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