Russo, Connie Jo
Russo, Connie Jo is an sole proprietor health care provider with primary practice located at 1885 S Pinellas Ave , Tarpon Springs FL 34689-1938. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Russo, Connie Jo can be contacted via phone (727) 992-1696.Contact Information
Primary practice address
1885 S Pinellas Ave
Tarpon Springs FL 34689-1938
Phone: (727) 992-1696
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 25841 | Florida |
Profile Details
| NPI number | 1700541711 |
|---|---|
| LBN Legal business name | Russo, Connie Jo |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 4th, 2021 |
| Last updated | Nov 4th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700541711 | NPPES |
| Florida | Other | 20-1876171 | MASSAGE THERAPIST |
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