Williams, Russell Alan
Williams, Russell Alan is an individual health care provider with primary practice located at 201 Abraham Flexner Way Ste 902, Louisville KY 40202-3841. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Williams, Russell Alan can be contacted via phone (502) 583-5948.Contact Information
Primary practice address
201 Abraham Flexner Way Ste 902
Louisville KY 40202-3841
Phone: (502) 583-5948
Fax: (502) 583-1804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 24718 | Kentucky |
Profile Details
| NPI number | 1578551008 |
|---|---|
| LBN Legal business name | Williams, Russell Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Jan 23rd, 2019 - about 7 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 | 1578551008 | NPPES |
| Kentucky | Other | K209590-KOHMG | KY MEDICARE |
| Kentucky | MEDICAID | 64247182 | KY MEDICARE |
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