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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932137064 NPPES
Louisiana MEDICAID 1698300
Louisiana MEDICAID 00118537

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