Black, Russell Deane

Black, Russell Deane is an individual health care provider with primary practice located at 2101 Alexian Dr , San Jose CA 95116-1901. He recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as his primary health care specialty. Black, Russell Deane can be contacted via phone (408) 272-6510.

Contact Information

Primary practice address
2101 Alexian Dr San Jose CA 95116-1901
Phone: (408) 272-6510
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X VN76812 California

Profile Details

NPI number 1407978901
LBN Legal business name Black, Russell Deane
Credentials Licensed Visiting Nurse (LVN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 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.

Request for update

Popular Providers