Vannorman, Russell H

Vannorman, Russell H is an individual health care provider with primary practice located at 1801 Fairfield Ave Ste 207 , Shreveport LA 71101-4460. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Vannorman, Russell H can be contacted via phone (318) 703-5655.

Contact Information

Primary practice address
1801 Fairfield Ave Ste 207 Shreveport LA 71101-4460
Phone: (318) 703-5655
Fax: (318) 606-5470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 204870 Louisiana

Profile Details

NPI number 1679576961
LBN Legal business name Vannorman, Russell H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Apr 6th, 2018 - about 8 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 1679576961 NPPES
Louisiana Other 4J088B236 MEDICARE

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