Smith, Russell

Smith, Russell is an sole proprietor health care provider with primary practice located at 102 Highland Ave , Princeton WV 24740-3350. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Smith, Russell can be contacted via phone (304) 320-7877.

Contact Information

Primary practice address
102 Highland Ave Princeton WV 24740-3350
Phone: (304) 320-7877
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1508450347
LBN Legal business name Smith, Russell
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2021
Last updated Feb 23rd, 2021 - about 5 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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