Russell, Nathaniel
Russell, Nathaniel is an individual health care provider with primary practice located at 8350 Craig St , Indianapolis IN 46250-3593. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Russell, Nathaniel can be contacted via phone (317) 578-0410.Contact Information
Primary practice address
8350 Craig St
Indianapolis IN 46250-3593
Phone: (317) 578-0410
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1104591494 |
|---|---|
| LBN Legal business name | Russell, Nathaniel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2021 |
| Last updated | Aug 10th, 2021 - about 5 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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