Keinath, Russell D
Keinath, Russell D is an individual health care provider with primary practice located at 5300 Elliott Dr , Ypsilanti MI 48197-8632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Keinath, Russell D can be contacted via phone (734) 434-6262.Contact Information
Primary practice address
5300 Elliott Dr
Ypsilanti MI 48197-8632
Phone: (734) 434-6262
Fax: (734) 712-2820
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 4301043636 | Michigan |
Profile Details
| NPI number | 1427037878 |
|---|---|
| LBN Legal business name | Keinath, Russell D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2006 |
| Last updated | Jan 12th, 2018 - about 8 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 | 1427037878 | NPPES |
| Michigan | Other | 0H14989 | BCBSM GROUP |
| Michigan | Other | 4404030 | BCBSM GROUP |
| Michigan | MEDICAID | 1728793 | BCBSM GROUP |
| Michigan | Other | 2403058001 | BCBSM GROUP |
| Michigan | Other | 0H14989 | BCBSM GROUP |
| Michigan | Other | 021534 | BCBSM GROUP |
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