Russell, Michael A

Russell, Michael A is an sole proprietor health care provider with primary practice located at 3300 Pennsylvania Ave Se , Washington DC 20020-2408. He recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Russell, Michael A can be contacted via phone (202) 491-9672.

Contact Information

Primary practice address
3300 Pennsylvania Ave Se Washington DC 20020-2408
Phone: (202) 491-9672
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1336849694
LBN Legal business name Russell, Michael A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2023
Last updated Jun 28th, 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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