Russell, Caisie Madison
Russell, Caisie Madison is an sole proprietor health care provider with primary practice located at 111 E Main St Ste B , Elkton MD 21921-5996. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Russell, Caisie Madison can be contacted via phone (443) 406-3234.Contact Information
Primary practice address
111 E Main St Ste B
Elkton MD 21921-5996
Phone: (443) 406-3234
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 2415 | Maryland |
Profile Details
| NPI number | 1114591872 |
|---|---|
| LBN Legal business name | Russell, Caisie Madison |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2021 |
| Last updated | May 18th, 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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