Deputy, Stephen Russell
Deputy, Stephen Russell is an individual health care provider with primary practice located at 1340 Poydras St Suite 1640, New Orleans LA 70112-1221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Deputy, Stephen Russell can be contacted via phone (504) 412-1835.Contact Information
Primary practice address
1340 Poydras St Suite 1640
New Orleans LA 70112-1221
Phone: (504) 412-1835
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 12224R | Louisiana |
Profile Details
| NPI number | 1932137064 |
|---|---|
| LBN Legal business name | Deputy, Stephen Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Feb 6th, 2012 - about 12 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 | 1932137064 | NPPES |
| Louisiana | MEDICAID | 1698300 | |
| Louisiana | MEDICAID | 00118537 |
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