Scabbo, Russell Edwin
Scabbo, Russell Edwin is an individual health care provider with primary practice located at 317 E Warwick Dr Suite B, Alma MI 48801-1085. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Scabbo, Russell Edwin can be contacted via phone (989) 463-2779.Contact Information
Primary practice address
317 E Warwick Dr Suite B
Alma MI 48801-1085
Phone: (989) 463-2779
Fax: (989) 463-2064
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301005159 | Michigan |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 6301005159 | Michigan |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 6301005159 | Michigan |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6301005159 | Michigan |
| Behavioral Health & Social Service Providers / Rehabilitation | 103TR0400X | 6301005159 | Michigan |
Profile Details
| NPI number | 1578594503 |
|---|---|
| LBN Legal business name | Scabbo, Russell Edwin |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | May 27th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578594503 | NPPES |
| Michigan | Other | 680B945070 | BLUE CROSS BLUE SHIELD |
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