Hjelmstad, Russell Howard
Hjelmstad, Russell Howard is an individual health care provider with primary practice located at 1105 6Th St , Traverse City MI 49684-2345. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Hjelmstad, Russell Howard can be contacted via phone (231) 935-0499.Contact Information
Primary practice address
1105 6Th St
Traverse City MI 49684-2345
Phone: (231) 935-0499
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 4301060645 | Michigan |
Profile Details
| NPI number | 1801818489 |
|---|---|
| LBN Legal business name | Hjelmstad, Russell Howard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Oct 9th, 2007 - about 18 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 | 1801818489 | NPPES |
| Michigan | MEDICAID | 2918219 |
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