Coutinho, Russel B
Coutinho, Russel B is an individual health care provider with primary practice located at 3901 S 7Th St , Terre Haute IN 47802-5709. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Coutinho, Russel B can be contacted via phone (812) 232-0021.Contact Information
Primary practice address
3901 S 7Th St
Terre Haute IN 47802-5709
Phone: (812) 232-0021
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 01060691A | Indiana |
Profile Details
| NPI number | 1356421440 |
|---|---|
| LBN Legal business name | Coutinho, Russel B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Jan 20th, 2020 - about 4 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 | 1356421440 | NPPES |
| Other | 000000475086 | ANTHEM BCBS | |
| MEDICAID | 200525370A | ANTHEM BCBS |
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