Adams, Russell

Adams, Russell is an individual health care provider with primary practice located at 146 W Dale St Suite 201, Waterloo IA 50703-1901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Adams, Russell can be contacted via phone (319) 234-4431.

Contact Information

Primary practice address
146 W Dale St Suite 201 Waterloo IA 50703-1901
Phone: (319) 234-4431
Fax: (319) 235-5004
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 22028 Iowa

Profile Details

NPI number 1023094265
LBN Legal business name Adams, Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Oct 22nd, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023094265 NPPES
Iowa MEDICAID 0195768
Iowa MEDICAID 1195768
Iowa MEDICAID 2195768

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