Russo, Michael

Russo, Michael is an individual health care provider with primary practice located at 29800 Bainbridge Rd # So40 , Solon OH 44139-2202. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Russo, Michael can be contacted via phone (440) 914-8603.

Contact Information

Primary practice address
29800 Bainbridge Rd # So40 Solon OH 44139-2202
Phone: (440) 914-8603
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 014662 Ohio

Profile Details

NPI number 1205463486
LBN Legal business name Russo, Michael
Credentials PT, DPT, FAAOMPT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2020
Last updated Mar 26th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205463486 NPPES
Ohio Other 014662 014662

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