National Provider Identifier Database

JACOB RUSSELL
Specialist/Technologist, Other

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.


Contact Information

JACOB RUSSELL
320 12TH AVE NE
NORMAN, OK73071-5238
Phone: 405-573-3842
Fax:
Website:
Specialty Taxonomy Code
* Specialist/Technologist, Other 246Z00000X

* Indicates primary specialty

NPI Profile & details for JACOB RUSSELL

NPI Number 1942540398
Credentials
Entity Individual
Enumeration date 02/21/2013
Last updated 02/21/2013 - About 13 years ago
Sole proprietor1 No
Identifiers n/a
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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