Adams, Russell
Adams, Russell is an individual health care provider with primary practice located at 146 W Dale St Suite 201, Waterloo IA 50703-1901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Adams, Russell can be contacted via phone (319) 234-4431.Contact Information
Primary practice address
146 W Dale St Suite 201
Waterloo IA 50703-1901
Phone: (319) 234-4431
Fax: (319) 235-5004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 22028 | Iowa |
Profile Details
| NPI number | 1023094265 |
|---|---|
| LBN Legal business name | Adams, Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2005 |
| Last updated | Oct 22nd, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023094265 | NPPES |
| Iowa | MEDICAID | 0195768 | |
| Iowa | MEDICAID | 1195768 | |
| Iowa | MEDICAID | 2195768 |
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