Russell, Tina Marie

Russell, Tina Marie is an individual health care provider with primary practice located at 218 Chenega St Suite A, Valdez AK 99686. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Russell, Tina Marie can be contacted via phone (907) 835-3274.

Contact Information

Primary practice address
218 Chenega St Suite A Valdez AK 99686
Phone: (907) 835-3274
Fax: (907) 835-3574
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1275664633
LBN Legal business name Russell, Tina Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Nov 8th, 2007 - about 17 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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