Carlston, Russell
Carlston, Russell is an individual health care provider with primary practice located at 516 W 14Th Ave Ste 100 , Holdrege NE 68949-1215. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Carlston, Russell can be contacted via phone (308) 995-4431.Contact Information
Primary practice address
516 W 14Th Ave Ste 100
Holdrege NE 68949-1215
Phone: (308) 995-4431
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 369 | Nebraska |
Profile Details
| NPI number | 1710369095 |
|---|---|
| LBN Legal business name | Carlston, Russell |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2015 |
| Last updated | Sep 10th, 2018 - about 8 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.
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