Russell, David D

Russell, David D is an sole proprietor health care provider with primary practice located at 4410 Dillon Ln Ste 17 , Corpus Christi TX 78415-5335. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Assistive Technology Supplier. Technologists, Technicians & Other Technical Service Providers / Technician, Other is his primary health care specialty. Russell, David D can be contacted via phone (361) 808-7382.

Contact Information

Primary practice address
4410 Dillon Ln Ste 17 Corpus Christi TX 78415-5335
Phone: (361) 808-7382
Fax: (361) 808-7367
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X ATP 4124
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Assistive Technology Supplier 225CA2500X ATP 4124

Profile Details

NPI number 1295024719
LBN Legal business name Russell, David D
Credentials ATP, CRTS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2011
Last updated Apr 27th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295024719 NPPES
Other 1008965 CRTS
Other 4124 CRTS

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