Legreid, Russel Jerome

Legreid, Russel Jerome is an individual health care provider with primary practice located at 1026 S Main St , Bluffton IN 46714-3614. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Legreid, Russel Jerome can be contacted via phone (260) 353-2023.

Contact Information

Primary practice address
1026 S Main St Bluffton IN 46714-3614
Phone: (260) 353-2023
Fax: (260) 824-7244
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 39319 Tennessee
Other Service Providers / Specialist 174400000X 01074428A Indiana

Profile Details

NPI number 1407897978
LBN Legal business name Legreid, Russel Jerome
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407897978 NPPES
Wisconsin MEDICAID 1407897978
Wisconsin MEDICAID 201250850

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