Cantrell, Russell C
Cantrell, Russell C is an individual health care provider with primary practice located at 1001 S. Kirkwood Road Suite 120, Saint Louis MO 63122-7250. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Cantrell, Russell C can be contacted via phone (314) 966-8887.Contact Information
Primary practice address
1001 S. Kirkwood Road Suite 120
Saint Louis MO 63122-7250
Phone: (314) 966-8887
Fax: (314) 966-3869
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 103654 | Missouri |
Profile Details
| NPI number | 1023097904 |
|---|---|
| LBN Legal business name | Cantrell, Russell C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2006 |
| Last updated | Feb 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023097904 | NPPES |
| Missouri | Other | 0425207002 | CIGNA |
| Missouri | Other | 227927 | CIGNA |
| Missouri | Other | 4486251 | CIGNA |
| Missouri | Other | 18346 | CIGNA |
| Missouri | Other | 2300015 | CIGNA |
| Missouri | Other | 49861 | CIGNA |
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