Carter, Russell W

Carter, Russell W is an individual health care provider with primary practice located at 2605 Kentucky Ave Suite 202, Paducah KY 42003-3800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Carter, Russell W can be contacted via phone (270) 415-4690.

Contact Information

Primary practice address
2605 Kentucky Ave Suite 202 Paducah KY 42003-3800
Phone: (270) 415-4690
Fax: (270) 415-4691
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036102415 Illinois
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 02476 Kentucky

Profile Details

NPI number 1912976085
LBN Legal business name Carter, Russell W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Dec 7th, 2020 - about 6 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 1912976085 NPPES
Kentucky MEDICAID 64024763

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