Russo, Diane
Russo, Diane is an individual health care provider with primary practice located at 4201 Tudor Centre Dr Suite 320, Anchorage AK 99508-5904. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Russo, Diane can be contacted via phone (907) 729-4955.Contact Information
Primary practice address
4201 Tudor Centre Dr Suite 320
Anchorage AK 99508-5904
Phone: (907) 729-4955
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 100 | Alaska |
Profile Details
| NPI number | 1780623561 |
|---|---|
| LBN Legal business name | Russo, Diane |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Jul 8th, 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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