Short, Russell Lee

Short, Russell Lee is an sole proprietor health care provider with primary practice located at 7513 Brittany Lakes Dr , Wilmington NC 28411. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Short, Russell Lee can be contacted via phone (910) 541-5341.

Contact Information

Primary practice address
7513 Brittany Lakes Dr Wilmington NC 28411
Phone: (910) 541-5341
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1336355239
LBN Legal business name Short, Russell Lee
Credentials IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 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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