Dr Alan Russell Plc

LBN: Dr Alan Russell Plc
Dr Alan Russell Plc is an health care organization with primary practice located at 2010 27Th Ave S , Minneapolis MN 55406-1108. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Dr Alan Russell Plc can be contacted via phone (612) 336-8478, or through Hubred, Kathy via phone (612) 336-8478.

Contact Information

Primary practice address
2010 27Th Ave S Minneapolis MN 55406-1108
Phone: (612) 336-8478
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hubred, Kathy CRDA
Phone: (612) 336-8478

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 09480 Minnesota

Profile Details

NPI number 1194997783
LBN Legal business name Dr Alan Russell Plc
DBA Doing business as
Authorized official Hubred, Kathy CRDA
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2008
Last updated Jun 11th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194997783 NPPES
Minnesota MEDICAID 160213600
Minnesota Other 13D69RU
Minnesota Other 710609

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