Russell, Ron C.

Russell, Ron C. is an individual health care provider with primary practice located at 1314 19Th Ave , Meridian MS 39301-4116. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Russell, Ron C. can be contacted via phone (601) 703-4078.

Contact Information

Primary practice address
1314 19Th Ave Meridian MS 39301-4116
Phone: (601) 703-4078
Fax: (601) 703-4065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 11080 Mississippi
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 11080 Mississippi

Profile Details

NPI number 1710969472
LBN Legal business name Russell, Ron C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Nov 9th, 2013 - about 13 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 1710969472 NPPES
Alabama MEDICAID 009811080
Alabama Other 110167818
Alabama Other 731-02318
Alabama MEDICAID 00119498

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