Russell, Allen J

Russell, Allen J is an sole proprietor health care provider with primary practice located at 32401 8 Mile Rd , Livonia MI 48152-1301. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Russell, Allen J can be contacted via phone (913) 359-6001.

Contact Information

Primary practice address
32401 8 Mile Rd Livonia MI 48152-1301
Phone: (913) 359-6001
Fax: (913) 359-5552
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301042036 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301042036 Michigan

Profile Details

NPI number 1184627945
LBN Legal business name Russell, Allen J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2005
Last updated Nov 9th, 2023 - about 3 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 1184627945 NPPES
Michigan Other 4301042036 STATE LICENSE

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