Russell, Richard Dewayne

Russell, Richard Dewayne is an sole proprietor health care provider with primary practice located at 3165 Boone Dr , Conway AR 72034-7388. He recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as his primary health care specialty. Russell, Richard Dewayne can be contacted via phone (501) 504-2126.

Contact Information

Primary practice address
3165 Boone Dr Conway AR 72034-7388
Phone: (501) 504-2126
Fax: (501) 504-2126
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X MG00708 Arkansas

Profile Details

NPI number 1326196593
LBN Legal business name Russell, Richard Dewayne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2007
Last updated Jul 9th, 2007 - about 18 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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