Russo, Donald J

Russo, Donald J is an individual health care provider with primary practice located at 353 New Shackle Island Rd #300C, Hendersonville TN 37075-2379. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Russo, Donald J can be contacted via phone (615) 338-3337.

Contact Information

Primary practice address
353 New Shackle Island Rd #300C Hendersonville TN 37075-2379
Phone: (615) 338-3337
Fax: (615) 338-3329
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 16008 Tennessee

Profile Details

NPI number 1790891315
LBN Legal business name Russo, Donald J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Jan 27th, 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 1790891315 NPPES
Tennessee Other 60515 BCBS OF TN
Tennessee MEDICAID 3011296 BCBS OF TN

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