Russo, David M

Russo, David M is an sole proprietor health care provider with primary practice located at 311 Steven B Tanger Blvd , Commerce GA 30529-3574. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Russo, David M can be contacted via phone (706) 335-4630.

Contact Information

Primary practice address
311 Steven B Tanger Blvd Commerce GA 30529-3574
Fax: (706) 335-4630
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 520 Georgia

Profile Details

NPI number 1740420553
LBN Legal business name Russo, David M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2009
Last updated Mar 6th, 2009 - about 17 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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