Russell, Byron

Russell, Byron is an individual health care provider with primary practice located at 713 Ronie St , Hattiesburg MS 39401-4345. He recently has 4 registered licenses in different health care specialties including Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Homemaker. Nursing Service Related Providers / Personal Care Attendant is his primary health care specialty. Russell, Byron can be contacted via phone (601) 583-9401.

Contact Information

Primary practice address
713 Ronie St Hattiesburg MS 39401-4345
Phone: (601) 583-9401
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Chore Provider 372500000X
Nursing Service Related Providers / Adult Companion 372600000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X
Nursing Service Related Providers / Homemaker 376J00000X

Profile Details

NPI number 1205222825
LBN Legal business name Russell, Byron
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2015
Last updated Apr 9th, 2015 - about 11 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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