Hanan, Russell Leon
Hanan, Russell Leon is an sole proprietor health care provider with primary practice located at 400 Nw 13Th St , Oklahoma City OK 73103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Hanan, Russell Leon can be contacted via phone (405) 235-3245.Contact Information
Primary practice address
400 Nw 13Th St
Oklahoma City OK 73103
Phone: (405) 235-3245
Fax: (405) 235-6991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 10300 | Oklahoma |
Profile Details
| NPI number | 1083683908 |
|---|---|
| LBN Legal business name | Hanan, Russell Leon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jun 23rd, 2010 - about 16 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 | 1083683908 | NPPES |
| Oklahoma | MEDICAID | 100105740A |
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