Russell, Jonathan Michael

Russell, Jonathan Michael is an individual health care provider with primary practice located at 705 Oak St Unit 11 , Big Rapids MI 49307-3108. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Russell, Jonathan Michael can be contacted via phone (231) 592-1002.

Contact Information

Primary practice address
705 Oak St Unit 11 Big Rapids MI 49307-3108
Phone: (231) 592-1002
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601007115 Michigan

Profile Details

NPI number 1174922447
LBN Legal business name Russell, Jonathan Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2014
Last updated Feb 23rd, 2021 - about 5 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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