Pellar, Russell W
Pellar, Russell W is an individual health care provider with primary practice located at 10110 Donald Powers Dr Suite 202, Munster IN 46321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Pellar, Russell W can be contacted via phone (219) 922-0222.Contact Information
Primary practice address
10110 Donald Powers Dr Suite 202
Munster IN 46321
Phone: (219) 922-0222
Fax: (219) 922-8899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01029020A | Indiana |
Profile Details
| NPI number | 1346298676 |
|---|---|
| LBN Legal business name | Pellar, Russell W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Aug 17th, 2012 - about 14 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 | 1346298676 | NPPES |
| Indiana | MEDICAID | 100200800 |
Popular Providers
-
Elgamal, Mohamed Hosny
9800 Valparaiso Dr , Munster IN 46321-4040 -
D'Souza, Dougal N
9800 Valparaiso Dr , Munster IN 46321-4040 -
Rawlings, Creighton M
7905 Calumet Ave Hammond Clinic Llc, Munster IN 46321-1215 -
Levy, Carl A.
7905 Calumet Ave Hammond Clinic Llc, Munster IN 46321-1215 -
Gonzalez Rendon, Carlos Rafael
10110 Don S Powers Dr Ste 202 , Munster IN 46321-4070 -
Cherenfant, Jovenel
9800 Valparaiso Dr , Munster IN 46321-4040 -
Shabeeb, M Nabil
10110 Donald S Powers Suite 202, Munster IN 46321-2915 -
Grevious, Mark Allen
7905 Calumet Ave , Munster IN 46321-2549