Terrill, Russell Thomas

Terrill, Russell Thomas is an sole proprietor health care provider with primary practice located at 4677 Valley East Blvd Suite 2, Arcata CA 95521-4630. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Terrill, Russell Thomas can be contacted via phone (707) 822-9122.

Contact Information

Primary practice address
4677 Valley East Blvd Suite 2 Arcata CA 95521-4630
Phone: (707) 822-9122
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X AU2015 California
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AU2015 California

Profile Details

NPI number 1366468118
LBN Legal business name Terrill, Russell Thomas
Credentials AU.D,
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2006
Last updated Mar 23rd, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1366468118 NPPES
Alaska MEDICAID AU8800

Popular Providers