Fritz, Russell C
Fritz, Russell C is an individual health care provider with primary practice located at 250 Bon Air Rd , Greenbrae CA 94904-1702. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Fritz, Russell C can be contacted via phone (415) 884-3415.Contact Information
Primary practice address
250 Bon Air Rd
Greenbrae CA 94904-1702
Phone: (415) 884-3415
Fax: (415) 883-0877
Website:
Health care specialties
Profile Details
| NPI number | 1679550032 |
|---|---|
| LBN Legal business name | Fritz, Russell C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2005 |
| Last updated | May 13th, 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 | 1679550032 | NPPES |
| Oklahoma | MEDICAID | 00G60870 | |
| Oklahoma | Other | 300035761 | |
| Oklahoma | MEDICAID | 00G608700 | |
| Oklahoma | MEDICAID | 1317403 | |
| Oklahoma | MEDICAID | 867666 | |
| Oklahoma | MEDICAID | 8563403 | |
| Oklahoma | MEDICAID | 8169633 | |
| Oklahoma | Other | 300121784 |
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