Marmor, Russell
Marmor, Russell is an individual health care provider with primary practice located at 401 S Elm St , Appleton WI 54911. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Marmor, Russell can be contacted via phone (930) 832-5270.Contact Information
Primary practice address
401 S Elm St
Appleton WI 54911
Phone: (930) 832-5270
Fax: (920) 832-5488
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 7737123 | Wisconsin |
Profile Details
| NPI number | 1629486485 |
|---|---|
| LBN Legal business name | Marmor, Russell |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2014 |
| Last updated | Jul 24th, 2014 - about 12 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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