Russek, Fredrick

Russek, Fredrick is an sole proprietor health care provider with primary practice located at 5263 S Highway 95 Suite 101, Fort Mohave AZ 86426-9223. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Russek, Fredrick can be contacted via phone (928) 788-3333.

Contact Information

Primary practice address
5263 S Highway 95 Suite 101 Fort Mohave AZ 86426-9223
Phone: (928) 788-3333
Fax: (928) 788-3555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 582 Nevada
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 2202 Arizona

Profile Details

NPI number 1285610170
LBN Legal business name Russek, Fredrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2005
Last updated Sep 16th, 2014 - about 12 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 1285610170 NPPES
Nevada MEDICAID 002002781
Nevada MEDICAID 256661

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