Hillsley, Russell E.
Hillsley, Russell E. is an individual health care provider with primary practice located at 3407 Wilkens Ave Suite 300, Baltimore MD 21229-5072. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Hillsley, Russell E. can be contacted via phone (410) 644-5111.Contact Information
Primary practice address
3407 Wilkens Ave Suite 300
Baltimore MD 21229-5072
Phone: (410) 644-5111
Fax: (410) 644-2715
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | D0050533 | Maryland |
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | D0050533 | Maryland |
Profile Details
NPI number | 1649273954 |
---|---|
LBN Legal business name | Hillsley, Russell E. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 31st, 2005 |
Last updated | Oct 28th, 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 | 1649273954 | NPPES |
Maryland | MEDICAID | 206638600 |
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