Russell, Noah
Russell, Noah is an individual health care provider with primary practice located at 7300 N Perimeter Rd , Malmstrom Afb MT 59402-6701. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Other Service Providers / Military Health Care Provider. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Russell, Noah can be contacted via phone (406) 731-4432.Contact Information
Primary practice address
7300 N Perimeter Rd
Malmstrom Afb MT 59402-6701
Phone: (406) 731-4432
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
Other Service Providers / Military Health Care Provider | 171000000X |
Profile Details
NPI number | 1235672114 |
---|---|
LBN Legal business name | Russell, Noah |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 28th, 2016 |
Last updated | Jun 16th, 2022 - about 3 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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