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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Popular Providers