Russell, Shannon

Russell, Shannon is an individual health care provider with primary practice located at 4100 W 3Rd St , Dayton OH 45428-9000. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as her primary health care specialty. Russell, Shannon can be contacted via phone (937) 268-6511.

Contact Information

Primary practice address
4100 W 3Rd St Dayton OH 45428-9000
Phone: (937) 268-6511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X

Profile Details

NPI number 1447939228
LBN Legal business name Russell, Shannon
Credentials CTRS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2023
Last updated Jul 18th, 2023 - about last year

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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