Whitaker, Russell S

Whitaker, Russell S is an sole proprietor health care provider with primary practice located at 300 Medical Center Drive Suite 201, Gadsden AL 35903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Whitaker, Russell S can be contacted via phone (256) 492-6982.

Contact Information

Primary practice address
300 Medical Center Drive Suite 201 Gadsden AL 35903
Fax: (256) 494-1958
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X L9013 Texas
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD.9524 Alabama

Profile Details

NPI number 1710988183
LBN Legal business name Whitaker, Russell S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2005
Last updated Oct 1st, 2009 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1710988183 NPPES
Alabama MEDICAID 101301
Alabama Other 51548442

Popular Providers