Russell, Mary

Russell, Mary is an sole proprietor health care provider with primary practice located at 10 Kruger Rd , Plains MT 59859-9271. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Russell, Mary can be contacted via phone (406) 493-5602.

Contact Information

Primary practice address
10 Kruger Rd Plains MT 59859-9271
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 1065 Montana

Profile Details

NPI number 1013248863
LBN Legal business name Russell, Mary
Credentials MS OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2010
Last updated Jan 19th, 2010 - about 15 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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