Russell, Robert J

Russell, Robert J is an individual health care provider with primary practice located at 759 Chestnut St , Springfield MA 01199-1001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Russell, Robert J can be contacted via phone (413) 794-3376.

Contact Information

Primary practice address
759 Chestnut St Springfield MA 01199-1001
Phone: (413) 794-3376
Fax: (413) 794-9803
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 182877 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 182877 Massachusetts

Profile Details

NPI number 1003890518
LBN Legal business name Russell, Robert J
Credentials PCNS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Jun 24th, 2015 - about 9 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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