Russell, Elizabeth Joyce

Russell, Elizabeth Joyce is an individual health care provider with primary practice located at 820 Arbutus Ave , Oconto WI 54153-2004. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Russell, Elizabeth Joyce can be contacted via phone (920) 835-1100.

Contact Information

Primary practice address
820 Arbutus Ave Oconto WI 54153-2004
Phone: (920) 835-1100
Fax: (920) 835-1099
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 37344 Wisconsin

Profile Details

NPI number 1851301253
LBN Legal business name Russell, Elizabeth Joyce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Sep 22nd, 2020 - about 6 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 1851301253 NPPES
Other 537527 AMERICAN BOARD OF FAMILY MEDICINE
Other 1851477913 AMERICAN BOARD OF FAMILY MEDICINE
MEDICAID 32194900 AMERICAN BOARD OF FAMILY MEDICINE
MEDICAID 11014110 AMERICAN BOARD OF FAMILY MEDICINE

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