Toth-Russell, Paula
Toth-Russell, Paula is an individual health care provider with primary practice located at 611 E Douglas Rd Suite 305, Mishawaka IN 46545-1464. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Toth-Russell, Paula can be contacted via phone (574) 472-6700.Contact Information
Primary practice address
611 E Douglas Rd Suite 305
Mishawaka IN 46545-1464
Phone: (574) 472-6700
Fax: (574) 335-0643
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 01042736A | Indiana |
Profile Details
| NPI number | 1588756712 |
|---|---|
| LBN Legal business name | Toth-Russell, Paula |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Apr 2nd, 2024 - about 2 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 | 1588756712 | NPPES |
| Indiana | MEDICAID | 100467060A | |
| Indiana | MEDICAID | 100467060 | |
| Indiana | Other | 000000721959 |
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