Russ, John Kevin
Russ, John Kevin is an individual health care provider with primary practice located at 4228 Houma Blvd Ste 200, Metairie LA 70006-3000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Russ, John Kevin can be contacted via phone (504) 454-7878.Contact Information
Primary practice address
4228 Houma Blvd Ste 200
Metairie LA 70006-3000
Phone: (504) 454-7878
Fax: (504) 883-3775
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD015424 | Louisiana |
Profile Details
| NPI number | 1750333704 |
|---|---|
| LBN Legal business name | Russ, John Kevin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Mar 9th, 2017 - about 9 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 | 1750333704 | NPPES |
| Louisiana | MEDICAID | 1329274 |
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