Russell, Tara Ray
Russell, Tara Ray is an sole proprietor health care provider with primary practice located at 114 N Taylor Hollow Rd Ne , Mcconnelsville OH 43756-9629. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Russell, Tara Ray can be contacted via phone (740) 651-8876.Contact Information
Primary practice address
114 N Taylor Hollow Rd Ne
Mcconnelsville OH 43756-9629
Phone: (740) 651-8876
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 113528 | Ohio |
Profile Details
| NPI number | 1508162991 |
|---|---|
| LBN Legal business name | Russell, Tara Ray |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2011 |
| Last updated | Dec 27th, 2021 - about 3 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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