Russell, Shonda

Russell, Shonda is an sole proprietor health care provider with primary practice located at 1095 S. Nickerson St. , Waynoka OK 73860. She recently has only one registered license in Agencies / Case Management, which is considered as her primary health care specialty. Russell, Shonda can be contacted via phone (580) 824-0674.

Contact Information

Primary practice address
1095 S. Nickerson St. Waynoka OK 73860
Phone: (580) 824-0674
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1619470507
LBN Legal business name Russell, Shonda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2018
Last updated Mar 16th, 2018 - about 8 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.

Request for update

Popular Providers