Russo, Nichole

Russo, Nichole is an individual health care provider with primary practice located at 175 N Groesbeck Hwy , Mount Clemens MI 48043-1562. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Russo, Nichole can be contacted via phone (586) 713-5112.

Contact Information

Primary practice address
175 N Groesbeck Hwy Mount Clemens MI 48043-1562
Phone: (586) 713-5112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1588299150
LBN Legal business name Russo, Nichole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2020
Last updated Mar 21st, 2023 - about last year

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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