James, Russell

James, Russell is an individual health care provider with primary practice located at 700 E Broad St , Hazleton PA 18201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. James, Russell can be contacted via phone (570) 501-4193.

Contact Information

Primary practice address
700 E Broad St Hazleton PA 18201
Phone: (570) 501-4193
Fax: (570) 501-4109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD18268 Maine
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD040603L Pennsylvania

Profile Details

NPI number 1780659144
LBN Legal business name James, Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Aug 12th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780659144 NPPES
Maine MEDICAID 1780659144
Maine MEDICAID 0012112600007

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