Russ, Jessica Ann

Russ, Jessica Ann is an individual health care provider with primary practice located at 8202 Clearvista Pkwy Ste 9C, Indianapolis IN 46256-1457. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as her primary health care specialty. Russ, Jessica Ann can be contacted via phone (317) 621-5713.

Contact Information

Primary practice address
8202 Clearvista Pkwy Ste 9C Indianapolis IN 46256-1457
Phone: (317) 621-5713
Fax: (317) 913-1472
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 23002440A Indiana

Profile Details

NPI number 1881920973
LBN Legal business name Russ, Jessica Ann
Credentials AU.D., CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2009
Last updated Mar 8th, 2021 - about 5 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 1881920973 NPPES
Indiana MEDICAID 200976160

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