Russel, Mark
Russel, Mark is an individual health care provider with primary practice located at 319 Nw Dogwood St , Issaquah WA 98027-3216. 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. Russel, Mark can be contacted via phone (425) 373-1315.Contact Information
Primary practice address
319 Nw Dogwood St
Issaquah WA 98027-3216
Phone: (425) 373-1315
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | LL00002826 | Washington |
Profile Details
| NPI number | 1043565377 |
|---|---|
| LBN Legal business name | Russel, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2012 |
| Last updated | Jul 24th, 2012 - about 14 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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