Russell, Robert Joseph
Russell, Robert Joseph is an individual health care provider with primary practice located at 539C Highway 80 W , Clinton MS 39056-4193. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Russell, Robert Joseph can be contacted via phone (601) 924-7489.Contact Information
Primary practice address
539C Highway 80 W
Clinton MS 39056-4193
Phone: (601) 924-7489
Fax: (601) 924-0988
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 14410 | Mississippi |
Profile Details
| NPI number | 1144331422 |
|---|---|
| LBN Legal business name | Russell, Robert Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1144331422 | NPPES |
| Mississippi | MEDICAID | 0119425 |
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