Anderson, Russell
Anderson, Russell is an individual health care provider with primary practice located at 514 North Brightleaf Blvd Suite 1100 , Smithfield NC 27577. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Anderson, Russell can be contacted via phone (919) 989-2192.Contact Information
Primary practice address
514 North Brightleaf Blvd Suite 1100
Smithfield NC 27577
Phone: (919) 989-2192
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 98-00446 | North Carolina |
Profile Details
| NPI number | 1801963376 |
|---|---|
| LBN Legal business name | Anderson, Russell |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Oct 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801963376 | NPPES |
| North Carolina | MEDICAID | 891139T |
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