Russell, Richard Keith

Russell, Richard Keith is an sole proprietor health care provider with primary practice located at 450 W Wilson Bridge Rd Suite 350, Worthington OH 43085-2237. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. Russell, Richard Keith can be contacted via phone (614) 436-6080.

Contact Information

Primary practice address
450 W Wilson Bridge Rd Suite 350 Worthington OH 43085-2237
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 2141 Ohio

Profile Details

NPI number 1124236302
LBN Legal business name Russell, Richard Keith
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2007
Last updated Jul 8th, 2007 - about 17 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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