Russell, Quanisha
Russell, Quanisha is an sole proprietor health care provider with primary practice located at 7271 Engle Rd , Middleburg Heights OH 44130-8488. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Russell, Quanisha can be contacted via phone (614) 339-0806.Contact Information
Primary practice address
7271 Engle Rd
Middleburg Heights OH 44130-8488
Phone: (614) 339-0806
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | Ohio |
Profile Details
| NPI number | 1104594209 |
|---|---|
| LBN Legal business name | Russell, Quanisha |
| Credentials | QMHS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2021 |
| Last updated | Mar 25th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104594209 | NPPES |
| Ohio | MEDICAID | 2910854 |
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