Russo, Romolo Harris

Russo, Romolo Harris is an individual health care provider with primary practice located at 601 John St Suite M-170, Kalamazoo MI 49007-5341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Russo, Romolo Harris can be contacted via phone (269) 343-3939.

Contact Information

Primary practice address
601 John St Suite M-170 Kalamazoo MI 49007-5341
Phone: (269) 343-3939
Fax: (269) 343-3948
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 4301036631 Michigan

Profile Details

NPI number 1821030214
LBN Legal business name Russo, Romolo Harris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jun 14th, 2010 - about 16 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 1821030214 NPPES
Michigan Other 1403912121 BCBS PIN
Michigan Other 155407 BCBS PIN
Michigan MEDICAID 4832089-10 BCBS PIN
Michigan Other 4325832 BCBS PIN

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