Russell, David

Russell, David is an individual health care provider with primary practice located at 602 Sw 38Th St , Lawton OK 73505-6912. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Russell, David can be contacted via phone (580) 248-5780.

Contact Information

Primary practice address
602 Sw 38Th St Lawton OK 73505-6912
Phone: (580) 248-5780
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1144740879
LBN Legal business name Russell, David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2017
Last updated Jul 21st, 2022 - about 3 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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