Russum, Jeffrey Harold
Russum, Jeffrey Harold is an individual health care provider with primary practice located at 640 Jackson St , Saint Paul MN 55101-2502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Russum, Jeffrey Harold can be contacted via phone (651) 254-3456.Contact Information
Primary practice address
640 Jackson St
Saint Paul MN 55101-2502
Phone: (651) 254-3456
Fax: (651) 254-9673
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 34942 | Minnesota |
Profile Details
| NPI number | 1659345346 |
|---|---|
| LBN Legal business name | Russum, Jeffrey Harold |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Nov 5th, 2015 - about 11 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 | 1659345346 | NPPES |
| Minnesota | MEDICAID | 826590900 |
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