Russo, Kristin
Russo, Kristin is an sole proprietor health care provider with primary practice located at 75 1/2 Pickering St , Danvers MA 01923-2018. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Russo, Kristin can be contacted via phone (978) 766-9111.Contact Information
Primary practice address
75 1/2 Pickering St
Danvers MA 01923-2018
Phone: (978) 766-9111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1588068423 |
|---|---|
| LBN Legal business name | Russo, Kristin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 21st, 2014 |
| Last updated | Oct 21st, 2014 - about 12 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 | 1588068423 | NPPES |
| Minnesota | Other | MDCXZ7871625 | BLUECROSS BLUESHIELD |
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