Russell, David P
Russell, David P is an sole proprietor health care provider with primary practice located at 1301 Pleasant Valley Rd Suite 302, Owensboro KY 42303-9774. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Russell, David P can be contacted via phone (270) 417-7880.Contact Information
Primary practice address
1301 Pleasant Valley Rd Suite 302
Owensboro KY 42303-9774
Phone: (270) 417-7880
Fax: (270) 417-7888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 20218 | Kentucky |
Profile Details
| NPI number | 1477550663 |
|---|---|
| LBN Legal business name | Russell, David P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Jun 10th, 2016 - about 10 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 | 1477550663 | NPPES |
| Other | 000000197830 | BCBS | |
| Other | 340001298 | BCBS | |
| MEDICAID | 64-202187 | BCBS |
Popular Providers
-
Freeman, Fred A
1133 College Ave C200, Manhattan KS 66502-2770 -
Young, Paul
2101 Park Center Dr Ste 130 , Orlando FL 32835-7611 -
Hsieh, Kisseng
5725 W Las Positas Blvd Suite 250, Pleasanton CA 94588-4054 -
Roberts, John Woodson
1455 Montego Ste 102, Walnut Creek CA 94598-2990 -
Harty, James I
1301 Pleasant Valley Rd Suite 302, Owensboro KY 42303-9774 -
Andersen, Robert Dan
2200 E Parrish Ave Building E, Suite 201, Owensboro KY 42303-1449 -
Hinson, John L
101 Fitness Way Suite 2300, Athens AL 35611-2480 -
Devine, John P
1133 College Ave G100, Manhattan KS 66502-2770