Russell, Tabby Jeane

Russell, Tabby Jeane is an sole proprietor health care provider with primary practice located at 808 Silver Sage , Evansville WY 82636-9532. She recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as her primary health care specialty. Russell, Tabby Jeane can be contacted via phone (307) 251-2459.

Contact Information

Primary practice address
808 Silver Sage Evansville WY 82636-9532
Phone: (307) 251-2459
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1013213438
LBN Legal business name Russell, Tabby Jeane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2011
Last updated Feb 2nd, 2011 - about 13 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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