Russell, Sarah

Russell, Sarah is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Russell, Sarah can be contacted via phone (216) 844-7330.

Contact Information

Primary practice address
11100 Euclid Ave Cleveland OH 44106
Phone: (216) 844-7330
Fax: (216) 844-3781
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 67000095 Ohio

Profile Details

NPI number 1962495846
LBN Legal business name Russell, Sarah
Credentials Associate of Arts (AA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Jun 12th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962495846 NPPES
Ohio Other 415029 WELLCARE MEDICAID
Ohio Other 0583328 WELLCARE MEDICAID
Ohio Other 7669949 WELLCARE MEDICAID
Ohio Other 000000232320 WELLCARE MEDICAID
Ohio Other 000000521138 WELLCARE MEDICAID
Ohio MEDICAID 2517459 WELLCARE MEDICAID

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