Russell, David Michael
Russell, David Michael is an individual health care provider with primary practice located at 1001 Farmington Ave Suite 304, West Hartford CT 06107-2135. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Russell, David Michael can be contacted via phone (860) 561-4841.Contact Information
Primary practice address
1001 Farmington Ave Suite 304
West Hartford CT 06107-2135
Phone: (860) 561-4841
Fax: (860) 561-4891
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1039 | Connecticut |
Profile Details
| NPI number | 1801006010 |
|---|---|
| LBN Legal business name | Russell, David Michael |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2007 |
| Last updated | Apr 9th, 2008 - about 18 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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