Albert, Russell D

Albert, Russell D is an individual health care provider with primary practice located at 1905 E. Huebbe Parkway Beloit Health System Inc., Beloit WI 53511-1842. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Albert, Russell D can be contacted via phone (608) 364-2200.

Contact Information

Primary practice address
1905 E. Huebbe Parkway Beloit Health System Inc. Beloit WI 53511-1842
Phone: (608) 364-2200
Fax: (608) 364-2489
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 36273020 Wisconsin
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036-073288 Illinois

Profile Details

NPI number 1811906738
LBN Legal business name Albert, Russell D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Aug 14th, 2012 - about 12 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 1811906738 NPPES
Wisconsin MEDICAID 1811906738

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