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Contact Information

RUSSELL BLAND
3277 S CRATER RD STE D
PETERSBURG, VA23805-9285
 Phone: 301-752-4611
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
 

Behavior Technician

106S00000X
 

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for RUSSELL BLAND · (Male)

NPI # 1598621203
Status Active
Credentials
Entity Individual
Enumeration date 12/27/2025
Last updated 12/27/2025 - About 5 months ago
Sole proprietor 1 Yes
Identifiers
  • VA Other 8HUZ2 8HUZ2
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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