Hales, Russell K
Hales, Russell K is an individual health care provider with primary practice located at 4940 Eastern Ave , Baltimore MD 21224-2735. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Hales, Russell K can be contacted via phone (410) 955-7390.Contact Information
Primary practice address
4940 Eastern Ave
Baltimore MD 21224-2735
Phone: (410) 955-7390
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | V0120 | Maryland |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | D70510 | Maryland |
Profile Details
| NPI number | 1033255138 |
|---|---|
| LBN Legal business name | Hales, Russell K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Feb 7th, 2013 - 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 | 1033255138 | NPPES |
| Maryland | MEDICAID | 036171200 |
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