Belenchia, Russell E.

Belenchia, Russell E. is an individual health care provider with primary practice located at 24345 Highway 15 , Union MS 39365-8575. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Belenchia, Russell E. can be contacted via phone (601) 774-8211.

Contact Information

Primary practice address
24345 Highway 15 Union MS 39365-8575
Phone: (601) 774-8211
Fax: (601) 774-8589
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10063 Mississippi
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 10063 Mississippi

Profile Details

NPI number 1700868452
LBN Legal business name Belenchia, Russell E.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Nov 7th, 2013 - about 11 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 1700868452 NPPES
Mississippi MEDICAID 00115507
Mississippi Other 080168657

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