Russo, Courtney Adel
Russo, Courtney Adel is an individual health care provider with primary practice located at 200 Patewood Dr Ste B400 , Greenville SC 29615-6306. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Russo, Courtney Adel can be contacted via phone (864) 454-4368.Contact Information
Primary practice address
200 Patewood Dr Ste B400
Greenville SC 29615-6306
Phone: (864) 454-4368
Fax: (864) 241-9232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 3965 | South Carolina |
Profile Details
| NPI number | 1598084105 |
|---|---|
| LBN Legal business name | Russo, Courtney Adel |
| Credentials | AU.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2010 |
| Last updated | May 26th, 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 | 1598084105 | NPPES |
| South Carolina | Other | P01059268 | RAILROAD MEDICARE |
| South Carolina | MEDICAID | SA1249 | RAILROAD MEDICARE |
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