Neibaur, Russell N
Neibaur, Russell N is an individual health care provider with primary practice located at 2450 W Horizon Ridge Pkwy Ste 150 , Henderson NV 89052-2722. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Neibaur, Russell N can be contacted via phone (702) 990-0622.Contact Information
Primary practice address
2450 W Horizon Ridge Pkwy Ste 150
Henderson NV 89052-2722
Phone: (702) 990-0622
Fax: (702) 938-1473
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5228 | Nevada |
Profile Details
| NPI number | 1093788051 |
|---|---|
| LBN Legal business name | Neibaur, Russell N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1093788051 | NPPES |
| Nevada | Other | CS03683 | PHARMACY |
| Nevada | Other | 5228 | PHARMACY |
| Nevada | Other | 11041321 | PHARMACY |
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