Smith, Russell Joseph
Smith, Russell Joseph is an sole proprietor health care provider with primary practice located at 3478 Catclaw Dr 112, Abilene TX 79606-8224. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Smith, Russell Joseph can be contacted via phone (325) 370-9541.Contact Information
Primary practice address
3478 Catclaw Dr 112
Abilene TX 79606-8224
Phone: (325) 370-9541
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 30586 | Texas |
Profile Details
| NPI number | 1811916778 |
|---|---|
| LBN Legal business name | Smith, Russell Joseph |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811916778 | NPPES |
| Texas | Other | C5759 | BCBS |
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