Russell, Paul

Russell, Paul is an sole proprietor health care provider with primary practice located at 10330 Brookside Dr , Perrysburg OH 43551-7224. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Russell, Paul can be contacted via phone (419) 973-0842.

Contact Information

Primary practice address
10330 Brookside Dr Perrysburg OH 43551-7224
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X I.1440417 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.1440417 Ohio

Profile Details

NPI number 1548674088
LBN Legal business name Russell, Paul
Credentials MSW, LISW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2014
Last updated Jun 12th, 2014 - about 12 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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