Russell, Gail A

Russell, Gail A is an individual health care provider with primary practice located at 10470 Old Placerville Rd Suite 100, Sacramento CA 95827-2539. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Russell, Gail A can be contacted via phone (800) 470-0071.

Contact Information

Primary practice address
10470 Old Placerville Rd Suite 100 Sacramento CA 95827-2539
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 18235 West Virginia
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G89255 California

Profile Details

NPI number 1578558896
LBN Legal business name Russell, Gail A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated May 11th, 2015 - about 11 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 1578558896 NPPES
West Virginia MEDICAID 0093619001

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