Russon, Troy S
Russon, Troy S is an individual health care provider with primary practice located at 310 N 10Th St , Bismarck ND 58501-4516. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Russon, Troy S can be contacted via phone (701) 530-7500.Contact Information
Primary practice address
310 N 10Th St
Bismarck ND 58501-4516
Phone: (701) 530-7500
Fax: (701) 530-7484
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 11486 | North Dakota |
Profile Details
| NPI number | 1790977957 |
|---|---|
| LBN Legal business name | Russon, Troy S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2007 |
| Last updated | Jul 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790977957 | NPPES |
| Minnesota | MEDICAID | 100498200 | |
| Minnesota | MEDICAID | ENROLLED | |
| Minnesota | MEDICAID | 35112600 |
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