Russo, Michael Anthony

Russo, Michael Anthony is an sole proprietor health care provider with primary practice located at 499 Stevens Ave , Portland ME 04103-2636. He recently has only one registered license in Other Service Providers / Naturopath, which is considered as his primary health care specialty. Russo, Michael Anthony can be contacted via phone (207) 774-6688.

Contact Information

Primary practice address
499 Stevens Ave Portland ME 04103-2636
Phone: (207) 774-6688
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X NP239 Maine

Profile Details

NPI number 1023146644
LBN Legal business name Russo, Michael Anthony
Credentials N.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2007
Last updated Jul 8th, 2007 - about 17 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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