Russo, Patricia J

Russo, Patricia J is an individual health care provider with primary practice located at 115 N Palafox St , Pensacola FL 32502-4838. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, Technologists, Technicians & Other Technical Service Providers / Technician, Other. Speech, Language and Hearing Service Providers / Hearing Instrument Specialist is her primary health care specialty. Russo, Patricia J can be contacted via phone (850) 438-4092.

Contact Information

Primary practice address
115 N Palafox St Pensacola FL 32502-4838
Phone: (850) 438-4092
Fax: (850) 438-4095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X AS 1379 Florida
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X AS 1379 Florida

Profile Details

NPI number 1164578506
LBN Legal business name Russo, Patricia J
Credentials BC-HIS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Nov 10th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164578506 NPPES
Florida MEDICAID 085155800
Florida Other 161297600
Florida Other T 0094
Florida Other J0195
Florida MEDICAID 085429800

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