Beis, Russell D.

Beis, Russell D. is an individual health care provider with primary practice located at 333 S Bellevue Blvd , Memphis TN 38104-3530. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Beis, Russell D. can be contacted via phone (901) 729-2708.

Contact Information

Primary practice address
333 S Bellevue Blvd Memphis TN 38104-3530
Phone: (901) 729-2708
Fax: (901) 729-2720
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD15534 Tennessee
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X MD15534 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD15534 Tennessee

Profile Details

NPI number 1942256102
LBN Legal business name Beis, Russell D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Mar 2nd, 2024 - about 9 months 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 1942256102 NPPES
Tennessee MEDICAID 3852978

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