Jeremy P. Russell Md Llc

LBN: Jeremy P. Russell Md Llc
Jeremy P. Russell Md Llc is an health care organization with primary practice located at 4810 Whitesport Cir Sw Suite 204, Huntsville AL 35801-7419. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Jeremy P. Russell Md Llc can be contacted via phone (256) 883-8087, or through Russell, Jeremy P via phone (256) 883-8087.

Contact Information

Primary practice address
4810 Whitesport Cir Sw Suite 204 Huntsville AL 35801-7419
Phone: (256) 883-8087
Fax: (256) 883-8284
Website:
Map and Directions
Authorized official contact:
Name: Russell, Jeremy P Doctor of Medicine (MD)
Phone: (256) 883-8087

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 26988 Alabama

Profile Details

NPI number 1578785911
LBN Legal business name Jeremy P. Russell Md Llc
DBA Doing business as
Authorized official Russell, Jeremy P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578785911 NPPES
Other 1558341123 INDIVIDUAL NPI

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