Russell, Susan Melissa
Russell, Susan Melissa is an sole proprietor health care provider with primary practice located at 420 Factory Outlet Dr , Hanson KY 42413-9513. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Russell, Susan Melissa can be contacted via phone (270) 821-7177.Contact Information
Primary practice address
420 Factory Outlet Dr
Hanson KY 42413-9513
Phone: (270) 821-7177
Fax: (270) 322-8192
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 110443 | Kentucky |
Profile Details
| NPI number | 1568191997 |
|---|---|
| LBN Legal business name | Russell, Susan Melissa |
| Credentials | LDO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2022 |
| Last updated | Jun 9th, 2022 - about 2 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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