Russell, James L

Russell, James L is an individual health care provider with primary practice located at 1001 Towson Ave , Fort Smith AR 72901. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Russell, James L can be contacted via phone (479) 441-4000.

Contact Information

Primary practice address
1001 Towson Ave Fort Smith AR 72901
Phone: (479) 441-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E3810 Arkansas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X E-3810 Arkansas

Profile Details

NPI number 1932197241
LBN Legal business name Russell, James L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Dec 15th, 2022 - about 4 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 1932197241 NPPES
Arkansas MEDICAID 152145001
Arkansas MEDICAID 200054390A

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