Johnston, Russell
Johnston, Russell is an individual health care provider with primary practice located at 1200 Sunnyside Ave , Lawrence KS 66045-7600. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Johnston, Russell can be contacted via phone (785) 864-4690.Contact Information
Primary practice address
1200 Sunnyside Ave
Lawrence KS 66045-7600
Phone: (785) 864-4690
Fax: (785) 864-5094
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3856 | Kansas |
Profile Details
| NPI number | 1699286617 |
|---|---|
| LBN Legal business name | Johnston, Russell |
| Credentials | M.A., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2017 |
| Last updated | Oct 17th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699286617 | NPPES |
| Kansas | Other | 3856 | KDADS LICENSE |
| Kansas | Other | 14175399 | KDADS LICENSE |
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