Bond, Russell R.

Bond, Russell R. is an individual health care provider with primary practice located at 3555 S National Ave #302, Springfield MO 65807-7310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Bond, Russell R. can be contacted via phone (417) 269-6868.

Contact Information

Primary practice address
3555 S National Ave #302 Springfield MO 65807-7310
Phone: (417) 269-6868
Fax: (417) 269-6865
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X R1E45 Missouri

Profile Details

NPI number 1871608406
LBN Legal business name Bond, Russell R.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Dec 31st, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871608406 NPPES
Other 5048 BLUE CROSS MO
MEDICAID 242110831 BLUE CROSS MO

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