Gilbertson, Russell
Gilbertson, Russell is an sole proprietor health care provider with primary practice located at 3700 South St , Lakewood CA 90712-1419. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gilbertson, Russell can be contacted via phone (562) 407-2080.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | G47691 | California |
Profile Details
NPI number | 1326077033 |
---|---|
LBN Legal business name | Gilbertson, Russell |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 3rd, 2006 |
Last updated | Feb 2nd, 2010 - about 15 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 | 1326077033 | NPPES |
California | Other | G47691 | LICENSE |
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