Russell, Randa
Russell, Randa is an individual health care provider with primary practice located at 3111 S 70Th St , Fort Smith AR 72903-5017. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Russell, Randa can be contacted via phone (479) 452-6650.Contact Information
Primary practice address
3111 S 70Th St
Fort Smith AR 72903-5017
Phone: (479) 452-6650
Fax: (479) 452-5847
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1104572320 |
|---|---|
| LBN Legal business name | Russell, Randa |
| Credentials | PRSS,QBHP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 25th, 2022 |
| Last updated | Feb 25th, 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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