Russell, Jeffrey D.

Russell, Jeffrey D. is an sole proprietor health care provider with primary practice located at 100 Brewster Blvd Naval Hospital, Camp Lejeune NC 28547-2538. He recently has 3 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Assistive Technology Practitioner, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Russell, Jeffrey D. can be contacted via phone (910) 450-4159.

Contact Information

Primary practice address
100 Brewster Blvd Naval Hospital Camp Lejeune NC 28547-2538
Phone: (910) 450-4159
Fax: (910) 450-4194
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY 941 Florida
Speech, Language and Hearing Service Providers / Assistive Technology Practitioner 231HA2400X AY941 Florida
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X AY941 Florida

Profile Details

NPI number 1922044270
LBN Legal business name Russell, Jeffrey D.
Credentials AUD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2006
Last updated Sep 14th, 2011 - about 14 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 1922044270 NPPES
Florida Other S2985 BLUE CROSS BLUE SHIELD

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