Russo, Robert Edward
Russo, Robert Edward is an individual health care provider with primary practice located at 18 Railroad Street , Essex Junction VT 05453. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Russo, Robert Edward can be contacted via phone (802) 879-4515.Contact Information
Primary practice address
18 Railroad Street
Essex Junction VT 05453
Phone: (802) 879-4515
Fax: (802) 879-4515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 14 | Vermont |
Profile Details
| NPI number | 1831282904 |
|---|---|
| LBN Legal business name | Russo, Robert Edward |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1831282904 | NPPES |
| Vermont | MEDICAID | 0006615 |
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