Russell, Michelle M
Russell, Michelle M is an individual health care provider with primary practice located at 7700 Washington Village Dr Ste 210 , Centerville OH 45459-4094. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Russell, Michelle M can be contacted via phone (937) 562-2291.Contact Information
Primary practice address
7700 Washington Village Dr Ste 210
Centerville OH 45459-4094
Phone: (937) 562-2291
Fax: (937) 562-2293
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34005033 | Ohio |
Profile Details
| NPI number | 1366428476 |
|---|---|
| LBN Legal business name | Russell, Michelle M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2005 |
| Last updated | Nov 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366428476 | NPPES |
| Ohio | Other | 590581 | AETNA |
| Ohio | Other | 34005033R | AETNA |
| Ohio | Other | 421534506073 | AETNA |
| Ohio | Other | D0503304 | AETNA |
| Ohio | Other | OC06218 | AETNA |
| Ohio | MEDICAID | 0887394 | AETNA |
| Ohio | Other | 0120237 | AETNA |
| Ohio | Other | 000000227882 | AETNA |
| Ohio | Other | 080191704 | AETNA |
| Ohio | Other | 000000227882 | AETNA |
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