Russo, Paul John

Russo, Paul John is an sole proprietor health care provider with primary practice located at 222 S Monticello St , Winamac IN 46996-1543. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Russo, Paul John can be contacted via phone (574) 946-3245.

Contact Information

Primary practice address
222 S Monticello St Winamac IN 46996-1543
Phone: (574) 946-3245
Fax: (574) 946-3383
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02001842A Indiana

Profile Details

NPI number 1487668554
LBN Legal business name Russo, Paul John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Dec 10th, 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.

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