Russell, Jason
Russell, Jason is an individual health care provider with primary practice located at 8331 Blue Ridge Dr , Southaven MS 38672-6589. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Russell, Jason can be contacted via phone (901) 857-5961.Contact Information
Primary practice address
8331 Blue Ridge Dr
Southaven MS 38672-6589
Phone: (901) 857-5961
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X | 086149826 | Tennessee |
Profile Details
| NPI number | 1225717325 |
|---|---|
| LBN Legal business name | Russell, Jason |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2023 |
| Last updated | Jul 14th, 2023 - 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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