Fields, Russell
Fields, Russell is an individual health care provider with primary practice located at 1500 N Westwood Blvd , Poplar Bluff MO 63901-3318. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Fields, Russell can be contacted via phone (573) 300-0138.Contact Information
Primary practice address
1500 N Westwood Blvd
Poplar Bluff MO 63901-3318
Phone: (573) 300-0138
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 2023036364 | Missouri |
Profile Details
| NPI number | 1134999600 |
|---|---|
| LBN Legal business name | Fields, Russell |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2024 |
| Last updated | Jan 5th, 2024 - about last year |
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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