Bingham, Russell Wayne
Bingham, Russell Wayne is an individual health care provider with primary practice located at 4009 Eufala St , Muskogee OK 74403. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Bingham, Russell Wayne can be contacted via phone (918) 681-0484.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 52 | Oklahoma |
Profile Details
| NPI number | 1386774016 |
|---|---|
| LBN Legal business name | Bingham, Russell Wayne |
| Credentials | CADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1386774016 | NPPES |
| Oklahoma | Other | 52 | CADC |
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