Russell, Rachelle

Russell, Rachelle is an sole proprietor health care provider with primary practice located at 1915 Rhodes St , Madison IL 62060-1355. She recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Medical Laboratory, Technologists, Technicians & Other Technical Service Providers / Technician, Other, Technologists, Technicians & Other Technical Service Providers / Phlebotomy. Technologists, Technicians & Other Technical Service Providers / Phlebotomy is her primary health care specialty. Russell, Rachelle can be contacted via phone (618) 402-6818.

Contact Information

Primary practice address
1915 Rhodes St Madison IL 62060-1355
Phone: (618) 402-6818
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Medical Laboratory 246RM2200X
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X

Profile Details

NPI number 1699148163
LBN Legal business name Russell, Rachelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2015
Last updated Sep 4th, 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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