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
Fax: (775) 727-5696
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225008501 NPPES
Nevada Other 18194 STATE LICENSE
Nevada MEDICAID 4184668 STATE LICENSE
Nevada MEDICAID 1225008501 STATE LICENSE

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