Russ, Ivory

Russ, Ivory is an sole proprietor health care provider with primary practice located at 300 Summer Breeze Way Apt 1106 , St Augustine FL 32086-1804. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Russ, Ivory can be contacted via phone (912) 342-9829.

Contact Information

Primary practice address
300 Summer Breeze Way Apt 1106 St Augustine FL 32086-1804
Phone: (912) 342-9829
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 31101007 Florida

Profile Details

NPI number 1255042826
LBN Legal business name Russ, Ivory
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2022
Last updated Jan 30th, 2023 - about 3 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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