Russell, Lisa Evealine

Russell, Lisa Evealine is an sole proprietor health care provider with primary practice located at 804 Industrial Park Rd , Maxwelton WV 24957-8066. She recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as her primary health care specialty. Russell, Lisa Evealine can be contacted via phone (304) 497-0500.

Contact Information

Primary practice address
804 Industrial Park Rd Maxwelton WV 24957-8066
Phone: (304) 497-0500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X West Virginia

Profile Details

NPI number 1821614371
LBN Legal business name Russell, Lisa Evealine
Credentials HAB SPEC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2020
Last updated Jun 21st, 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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