Pisano, Russell Charles

Pisano, Russell Charles is an individual health care provider with primary practice located at 72780 Country Club Dr Ste 203 , Rancho Mirage CA 92270-4150. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Pisano, Russell Charles can be contacted via phone (760) 834-3593.

Contact Information

Primary practice address
72780 Country Club Dr Ste 203 Rancho Mirage CA 92270-4150
Phone: (760) 834-3593
Fax: (760) 674-3845
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC23350 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP21901 California

Profile Details

NPI number 1952413098
LBN Legal business name Pisano, Russell Charles
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Aug 23rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952413098 NPPES
California Other NP21901 MEDICAL LICENSE

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