Russo, Joel
Russo, Joel is an sole proprietor health care provider with primary practice located at 2350 Miami Valley Dr , Centerville OH 45459-4778. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Russo, Joel can be contacted via phone (937) 438-7755.Contact Information
Primary practice address
2350 Miami Valley Dr
Centerville OH 45459-4778
Phone: (937) 438-7755
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT.004379 | Ohio |
Profile Details
| NPI number | 1902203953 |
|---|---|
| LBN Legal business name | Russo, Joel |
| Credentials | AT, ATC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 19th, 2014 |
| Last updated | Nov 19th, 2014 - about 10 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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