Russell, Lars Richard

Russell, Lars Richard is an individual health care provider with primary practice located at 43335 K Beach Rd Ste 36 , Soldotna AK 99669-8280. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Russell, Lars Richard can be contacted via phone (907) 262-6331.

Contact Information

Primary practice address
43335 K Beach Rd Ste 36 Soldotna AK 99669-8280
Phone: (907) 262-6331
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Alaska

Profile Details

NPI number 1104423466
LBN Legal business name Russell, Lars Richard
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2020
Last updated Oct 8th, 2020 - 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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