Johnson, Russell K
Johnson, Russell K is an individual health care provider with primary practice located at 114 W Castellano Dr , El Paso TX 79912-6119. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Johnson, Russell K can be contacted via phone (915) 532-3721.Contact Information
Primary practice address
114 W Castellano Dr
El Paso TX 79912-6119
Phone: (915) 532-3721
Fax: (915) 532-3724
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 2241 | Texas |
Profile Details
| NPI number | 1437185378 |
|---|---|
| LBN Legal business name | Johnson, Russell K |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Mar 9th, 2017 - about 7 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 | 1437185378 | NPPES |
| Texas | Other | 2241 | TX PODIATRY LIC # |
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