Russell, Raymond G.

Russell, Raymond G. is an individual health care provider with primary practice located at 5250 Far Hills Ave Suite 150, Kettering OH 45429. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Russell, Raymond G. can be contacted via phone (937) 434-4611.

Contact Information

Primary practice address
5250 Far Hills Ave Suite 150 Kettering OH 45429
Phone: (937) 434-4611
Fax: (937) 434-9107
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 35036352 Ohio
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 35.036352 Ohio

Profile Details

NPI number 1750339685
LBN Legal business name Russell, Raymond G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jul 8th, 2009 - about 17 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 1750339685 NPPES
Ohio MEDICAID 0521537

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