Anderson, Russell Lee
Anderson, Russell Lee is an sole proprietor health care provider with primary practice located at 78270 Highway 1081 , Covington LA 70435-4646. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Anderson, Russell Lee can be contacted via phone (985) 867-5680.Contact Information
Primary practice address
78270 Highway 1081
Covington LA 70435-4646
Phone: (985) 867-5680
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R042107 | Louisiana |
Profile Details
| NPI number | 1760538037 |
|---|---|
| LBN Legal business name | Anderson, Russell Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Jul 8th, 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 | 1760538037 | NPPES |
| Louisiana | MEDICAID | 1696684 |
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