Russom, Briana

Russom, Briana is an individual health care provider with primary practice located at 2473 Mcfarland Rd , Rockford IL 61107. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Russom, Briana can be contacted via phone (779) 696-9202.

Contact Information

Primary practice address
2473 Mcfarland Rd Rockford IL 61107
Phone: (779) 696-9202
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085003897 Illinois

Profile Details

NPI number 1558661702
LBN Legal business name Russom, Briana
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2010
Last updated Feb 19th, 2021 - about 3 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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