Russell, Richard L

Russell, Richard L is an sole proprietor health care provider with primary practice located at 1748 Hackamore Rd , Cheyenne WY 82009. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Russell, Richard L can be contacted via phone (307) 632-0284.

Contact Information

Primary practice address
1748 Hackamore Rd Cheyenne WY 82009
Phone: (307) 632-0284
Fax: (307) 778-3944
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1871863183
LBN Legal business name Russell, Richard L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2012
Last updated Jan 3rd, 2012 - about 12 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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