Betcher, Russell Anderson

Betcher, Russell Anderson is an individual health care provider with primary practice located at 1422 Old Weisgarber Rd , Knoxville TN 37909-2674. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Betcher, Russell Anderson can be contacted via phone (865) 558-4400.

Contact Information

Primary practice address
1422 Old Weisgarber Rd Knoxville TN 37909-2674
Phone: (865) 558-4400
Fax: (865) 558-4471
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD28975 Tennessee
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 28975 Tennessee

Profile Details

NPI number 1659349058
LBN Legal business name Betcher, Russell Anderson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Jun 14th, 2017 - about 7 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 1659349058 NPPES
Tennessee Other 5113561 AETNA
Tennessee Other 100011418 AETNA
Tennessee Other 3091851 AETNA
Tennessee Other TN0162 AETNA
Tennessee Other TN0113 AETNA
Tennessee Other 200033047 AETNA
Tennessee Other TN0143 AETNA
Tennessee Other 7100117160 AETNA
Tennessee MEDICAID 3813217 AETNA

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