Russ, Robert Michael
Russ, Robert Michael is an individual health care provider with primary practice located at 1397 S Loop Rd , Pahrump NV 89048. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Russ, Robert Michael can be contacted via phone (775) 727-5500.Contact Information
Primary practice address
1397 S Loop Rd
Pahrump NV 89048
Phone: (775) 727-5500
Fax: (775) 727-5696
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301068622 | Michigan |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 18194 | Nevada |
Profile Details
| NPI number | 1225008501 |
|---|---|
| LBN Legal business name | Russ, Robert Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Oct 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225008501 | NPPES |
| Nevada | Other | 18194 | STATE LICENSE |
| Nevada | MEDICAID | 4184668 | STATE LICENSE |
| Nevada | MEDICAID | 1225008501 | STATE LICENSE |
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