Tolliver, Russell Wayne

Tolliver, Russell Wayne is an sole proprietor health care provider with primary practice located at 4083 Sunbeam Rd Apartment 1409, Jacksonville FL 32257-8993. He recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as his primary health care specialty. Tolliver, Russell Wayne can be contacted via phone (904) 733-1338.

Contact Information

Primary practice address
4083 Sunbeam Rd Apartment 1409 Jacksonville FL 32257-8993
Phone: (904) 733-1338
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1972796175
LBN Legal business name Tolliver, Russell Wayne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2007
Last updated Aug 21st, 2007 - about 19 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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