Russel Main
Russel Main is a Community Health Worker in Morgantown, West Virginia. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
780 Alpine StMorgantown, WV 26505-2532
Phone: (304) 692-6798
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1104410711 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 24, 2021 |
| Last updated in NPPES | February 24, 2021 |
| Certification date | February 24, 2021 |
| Mailing address | 780 Alpine St, Morgantown, WV 26505-2532 |
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