Johnson, Russell

Johnson, Russell is an individual health care provider with primary practice located at 2142 N Cove Blvd , Toledo OH 43606-3895. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Johnson, Russell can be contacted via phone (419) 291-4101.

Contact Information

Primary practice address
2142 N Cove Blvd Toledo OH 43606-3895
Phone: (419) 291-4101
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 34-00-7168 Ohio

Profile Details

NPI number 1336102375
LBN Legal business name Johnson, Russell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Jan 7th, 2008 - about 16 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 1336102375 NPPES
Ohio Other 727174 BCHP
Ohio Other 000000372951 BCHP
Ohio Other 341960760035 BCHP
Ohio MEDICAID 2228753 BCHP
Ohio MEDICAID 4429949 BCHP
Ohio MEDICAID 810547599042 BCHP
Ohio Other 000000271437 BCHP

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