Russell, Robert Bernard

Russell, Robert Bernard is an sole proprietor health care provider with primary practice located at 620 S 400 E , St George UT 84770-3700. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Russell, Robert Bernard can be contacted via phone (435) 656-8918.

Contact Information

Primary practice address
620 S 400 E St George UT 84770-3700
Phone: (435) 656-8918
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 11577525-6018 Utah

Profile Details

NPI number 1386230514
LBN Legal business name Russell, Robert Bernard
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2020
Last updated Dec 11th, 2020 - about 6 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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