Chadwick, Russell Blaine

Chadwick, Russell Blaine is an individual health care provider with primary practice located at 614 Becker Ave , Belen NM 87002-3634. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Chadwick, Russell Blaine can be contacted via phone (505) 864-8998.

Contact Information

Primary practice address
614 Becker Ave Belen NM 87002-3634
Fax: (505) 864-8888
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1144963893
LBN Legal business name Chadwick, Russell Blaine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2022
Last updated Apr 19th, 2022 - about 4 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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