Buchanan, Russell I.
Buchanan, Russell I. is an individual health care provider with primary practice located at 2413 W Ridgeway Ave , Waterloo IA 50701-4306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Buchanan, Russell I. can be contacted via phone (319) 226-9888.Contact Information
Primary practice address
2413 W Ridgeway Ave
Waterloo IA 50701-4306
Phone: (319) 226-9888
Fax: (319) 226-9889
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 34843 | Iowa |
Profile Details
| NPI number | 1518908896 |
|---|---|
| LBN Legal business name | Buchanan, Russell I. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1518908896 | NPPES |
| Iowa | MEDICAID | 1276501 |
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