Russell, Virginia

Russell, Virginia is an individual health care provider with primary practice located at 733 N Flag Chapel Rd Magnolia Speech School, Jackson MS 39209-2206. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Russell, Virginia can be contacted via phone (601) 922-5530.

Contact Information

Primary practice address
733 N Flag Chapel Rd Magnolia Speech School Jackson MS 39209-2206
Phone: (601) 922-5530
Fax: (601) 922-5534
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X A2764 Mississippi

Profile Details

NPI number 1598953168
LBN Legal business name Russell, Virginia
Credentials AUDIOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2007
Last updated Oct 9th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598953168 NPPES
Mississippi MEDICAID 02372704

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