Russell, Sherry A
Russell, Sherry A is an individual health care provider with primary practice located at 1322 N River Rd , St Clair MI 48079. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Community, which is considered as her primary health care specialty. Russell, Sherry A can be contacted via phone (810) 329-4798.Contact Information
Primary practice address
1322 N River Rd
St Clair MI 48079
Phone: (810) 329-4798
Fax: (810) 329-7303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Community | 364SP0812X | 4704167606 | Michigan |
Profile Details
| NPI number | 1104887140 |
|---|---|
| LBN Legal business name | Russell, Sherry A |
| Credentials | MSN APRN BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Jul 19th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104887140 | NPPES |
| Michigan | MEDICAID | 740113 |
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