Russell, Shilo

Russell, Shilo is an individual health care provider with primary practice located at 2995 Warrior Ln , Poplar Bluff MO 63901-8600. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Russell, Shilo can be contacted via phone (573) 712-2902.

Contact Information

Primary practice address
2995 Warrior Ln Poplar Bluff MO 63901-8600
Phone: (573) 712-2902
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1952004897
LBN Legal business name Russell, Shilo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2023
Last updated Mar 22nd, 2023 - about 3 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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