Consiglio, Russell E.

Consiglio, Russell E. is an individual health care provider with primary practice located at 3160 Folsom Blvd , Sacramento CA 95816-5219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Consiglio, Russell E. can be contacted via phone (916) 733-5336.

Contact Information

Primary practice address
3160 Folsom Blvd Sacramento CA 95816-5219
Phone: (916) 733-5336
Fax: (916) 733-5385
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X PA10894 California

Profile Details

NPI number 1346256369
LBN Legal business name Consiglio, Russell E.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346256369 NPPES
California Other 4663625 AETNA
California Other 6753334 AETNA
California Other 461130 AETNA
California Other 90078280 AETNA
California MEDICAID PA10894 AETNA
California Other 10899748 AETNA
California Other PA10894 AETNA

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