Bienvenu, Russel
Bienvenu, Russel is an individual health care provider with primary practice located at 101 Isadore St , Natchitoches LA 71457-5747. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Bienvenu, Russel can be contacted via phone (318) 238-2810.Contact Information
Primary practice address
101 Isadore St
Natchitoches LA 71457-5747
Phone: (318) 238-2810
Fax: (318) 238-2811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OTT.Z10858 | Louisiana |
Profile Details
| NPI number | 1194047852 |
|---|---|
| LBN Legal business name | Bienvenu, Russel |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2010 |
| Last updated | Feb 23rd, 2010 - about 16 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 | 1194047852 | NPPES |
| Louisiana | Other | OTT.Z10858 | LOUISIANA STATE LICENSE |
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