Russell, Heather Brianne
Russell, Heather Brianne is an individual health care provider with primary practice located at 409 N Thompson St , Springdale AR 72764-4118. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Russell, Heather Brianne can be contacted via phone (479) 750-8880.Contact Information
Primary practice address
409 N Thompson St
Springdale AR 72764-4118
Phone: (479) 750-8880
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 6826363 | Arkansas |
Profile Details
| NPI number | 1205519204 |
|---|---|
| LBN Legal business name | Russell, Heather Brianne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2023 |
| Last updated | Aug 8th, 2023 - about 2 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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