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:
Health care specialties
| Specialty | Code | License # | 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 18 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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