Hauge, Russell Alan

Hauge, Russell Alan is an individual health care provider with primary practice located at 600 East Blvd , Elkhart IN 46514-2483. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Hauge, Russell Alan can be contacted via phone (574) 524-8130.

Contact Information

Primary practice address
600 East Blvd Elkhart IN 46514-2483
Phone: (574) 524-8130
Fax: (574) 524-8138
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 120711-6 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4677 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 28195266A Indiana

Profile Details

NPI number 1619939501
LBN Legal business name Hauge, Russell Alan
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated May 18th, 2023 - about last year

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 1619939501 NPPES
Indiana MEDICAID 201026230

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