Russell, Victor Dale
Russell, Victor Dale is an sole proprietor health care provider with primary practice located at 7693 Highway 72 W , Madison AL 35758-8750. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Russell, Victor Dale can be contacted via phone (256) 325-3280.Contact Information
Primary practice address
7693 Highway 72 W
Madison AL 35758-8750
Phone: (256) 325-3280
Fax: (256) 325-3281
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PTH2852 | Alabama |
Profile Details
| NPI number | 1366455610 |
|---|---|
| LBN Legal business name | Russell, Victor Dale |
| Credentials | Registered Physical Therapist (RPT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Jul 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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