Russell, Adam Cory
Russell, Adam Cory is an sole proprietor health care provider with primary practice located at 260 Leonard St Nw Ste 2 , Grand Rapids MI 49504-4267. He recently has only one registered license in Other Service Providers / Health Educator, which is considered as his primary health care specialty. Russell, Adam Cory can be contacted via phone (616) 458-9520.Contact Information
Primary practice address
260 Leonard St Nw Ste 2
Grand Rapids MI 49504-4267
Phone: (616) 458-9520
Fax: (616) 458-9532
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Health Educator | 174H00000X |
Profile Details
| NPI number | 1336657733 |
|---|---|
| LBN Legal business name | Russell, Adam Cory |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2018 |
| Last updated | Jan 19th, 2018 - about 8 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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