Russell, Karen M
Russell, Karen M is an sole proprietor health care provider with primary practice located at 433 W Donald St Apartment 101, Waterloo IA 50703-1245. She recently has only one registered license in Nursing Service Related Providers / Attendant Care Provider, which is considered as her primary health care specialty. Russell, Karen M can be contacted via phone (318) 359-2793.Contact Information
Primary practice address
433 W Donald St Apartment 101
Waterloo IA 50703-1245
Phone: (318) 359-2793
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Attendant Care Provider | 3747A0650X |
Profile Details
| NPI number | 1962749069 |
|---|---|
| LBN Legal business name | Russell, Karen M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2013 |
| Last updated | Jan 9th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962749069 | NPPES |
| Iowa | Other | X000105546 | IOWA MEDICAID ENTERPRISE |
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