Sue A Russell Phd Pc

LBN: Sue A Russell Phd Pc
Sue A Russell Phd Pc is an health care organization with primary practice located at 628 7Th Ave S , Grand Forks ND 58201-4854. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Sue A Russell Phd Pc can be contacted via phone (701) 746-8737, or through Russell, Sue Ann via phone (701) 746-8737.

Contact Information

Primary practice address
628 7Th Ave S Grand Forks ND 58201-4854
Phone: (701) 746-8737
Fax: (701) 746-4763
Website:
Map and Directions
Authorized official contact:
Name: Russell, Sue Ann PH.D.
Phone: (701) 746-8737

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 241 North Dakota

Profile Details

NPI number 1942371067
LBN Legal business name Sue A Russell Phd Pc
DBA Doing business as
Authorized official Russell, Sue Ann PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 11th, 2006
Last updated Feb 27th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942371067 NPPES
North Dakota Other 11499 BLUE CROSS BLUE SHIELD
North Dakota MEDICAID 342553300 BLUE CROSS BLUE SHIELD
North Dakota MEDICAID 17418 BLUE CROSS BLUE SHIELD

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