Haber, Russell

Haber, Russell is an sole proprietor health care provider with primary practice located at 1816 Bull St , Columbia SC 29201-2506. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Haber, Russell can be contacted via phone (803) 254-3786.

Contact Information

Primary practice address
1816 Bull St Columbia SC 29201-2506
Phone: (803) 254-3786
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 316 South Carolina

Profile Details

NPI number 1578626586
LBN Legal business name Haber, Russell
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2006
Last updated May 13th, 2009 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578626586 NPPES
South Carolina MEDICAID PS0048

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