National Provider Identifier Database

RUBEN R RUSSELL III, STNA – NPI #1619212693
Phlebotomy


Contact Information

RUBEN R RUSSELL III, STNA
22091 LIBBY RD APT 101 AA
BEDFORD HEIGHTS, OH44146
Phone: 216-392-3108
Fax:
Website:
Specialty Taxonomy Code
* Phlebotomy 246RP1900X

* Indicates primary specialty

NPI Profile & details for RUBEN R RUSSELL III

NPI Number 1619212693
Credentials STNA
Entity Individual
Enumeration date 12/03/2012
Last updated 12/03/2012 - About 14 years ago
Sole proprietor1 Yes
Identifiers
  • OH License #: OH23128M211
Hospital affiliation n/a

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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