Russell, Charles R

Russell, Charles R is an individual health care provider with primary practice located at 4520 S Huron St , Englewood CO 80110-5636. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Russell, Charles R can be contacted via phone (720) 435-0048.

Contact Information

Primary practice address
4520 S Huron St Englewood CO 80110-5636
Phone: (720) 435-0048
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-17-35016 Colorado

Profile Details

NPI number 1306336847
LBN Legal business name Russell, Charles R
Credentials RBT-17-35016
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2018
Last updated May 10th, 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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