Eldridge, Russell M

Eldridge, Russell M is an individual health care provider with primary practice located at 1720 Nicholasville Rd #701, Lexington KY 40503-1475. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Eldridge, Russell M can be contacted via phone (859) 276-0414.

Contact Information

Primary practice address
1720 Nicholasville Rd #701 Lexington KY 40503-1475
Phone: (859) 276-0414
Fax: (859) 276-3765
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 29507 Kentucky

Profile Details

NPI number 1548261423
LBN Legal business name Eldridge, Russell M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Nov 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548261423 NPPES
Kentucky MEDICAID 64295074

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