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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 Specialty Code Provider Type

Phlebotomy

246RP1900X
Indicates primary specialty

NPI Profile & details for RUBEN R RUSSELL III · (Male)

NPI # 1619212693
Status Active
Credentials STNA
Entity Individual
Enumeration date 12/03/2012
Last updated 12/03/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # OH23128M211
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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