Russell, Brooke

Russell, Brooke is an sole proprietor health care provider with primary practice located at 220 Furst St , Lock Haven PA 17745-3720. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Russell, Brooke can be contacted via phone (570) 295-9145.

Contact Information

Primary practice address
220 Furst St Lock Haven PA 17745-3720
Phone: (570) 295-9145
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1295261501
LBN Legal business name Russell, Brooke
Credentials M.S. CFY-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2017
Last updated May 5th, 2017 - about 9 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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