Russek, Frederick
Russek, Frederick is an sole proprietor health care provider with primary practice located at 3458 E Lowell Ave , Gilbert AZ 85295-1554. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Russek, Frederick can be contacted via phone (702) 556-2260.Contact Information
Primary practice address
3458 E Lowell Ave
Gilbert AZ 85295-1554
Phone: (702) 556-2260
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 2202 | Arizona |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 2202 | Arizona |
Profile Details
| NPI number | 1285610170 |
|---|---|
| LBN Legal business name | Russek, Frederick |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2005 |
| Last updated | Dec 16th, 2025 - about last year |
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 | 1285610170 | NPPES |
| Nevada | MEDICAID | 002002781 | |
| Nevada | MEDICAID | 256661 |
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