Russell Rolison Mann in Flagstaff - Contractor
Russell Rolison Mann - NPI 1851470025
Russell Rolison Mann is a Contractor in Flagstaff, Arizona. Russell Rolison Mann practices all healthcare services and medical treatments related to Contractor. The NPI Number for Russell Rolison Mann is 1851470025. The last update date is 2007-07-08.
Russell Rolison Mann's current location address is 59 Pine Del St, Flagstaff, Arizona. You can contact this provider via phone number 9287745669. The mailing address for Russell Rolison Mann is 59 Pine Del St, Flagstaff, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Name | Russell Rolison Mann |
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Address | 59 Pine Del St, Flagstaff, Arizona |
Phone Number | 9287745669 |
Fax Number | |
Sole Proprietor | Y |
Credentials | MA |
NPI Number Detail
NPI Number | 1851470025 |
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Provider Enumeration Date | 2006-11-06 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 59 Pine Del St |
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City | Flagstaff |
State | Arizona (AZ) |
Post Code | 860019603 |
Phone Number | 9287745669 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Contractor |
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Taxonomy | 171W00000X |
Licence No | 3807 |
Definition: A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or m |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
711714 | AZ | AHCCCS | |
3807 | AZ | AZDES PROVIDER FACILITY I |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Russell Rolison Mann by the Centers for Medicare & Medicaid Services?
The Russell Rolison Mann has been issued the NPI (National Provider Identifier) 1851470025, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Russell Rolison Mann?
The Russell Rolison Mann is situated at 59 Pine Del St, in the city of Flagstaff, state of AZ, with the zip code 860019603.
What is Russell Rolison Mann's area of expertise and its corresponding taxonomy classification?
The Russell Rolison Mann's field of specialization is Contractor, and it falls under the taxonomy code 171W00000X, which categorizes healthcare providers based on their areas of practice.
When did the Russell Rolison Mann receive its 1851470025?
The Russell Rolison Mann was issued its 1851470025 on 2006-11-06, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Russell Rolison Mann most recently updated or revised?
The details related to Russell Rolison Mann, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.