Judd, Russell L

Judd, Russell L is an individual health care provider with primary practice located at 5317 E 16Th St Ste 5, Indianapolis IN 46218-4897. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Judd, Russell L can be contacted via phone (317) 322-8384.

Contact Information

Primary practice address
5317 E 16Th St Ste 5 Indianapolis IN 46218-4897
Phone: (317) 322-8384
Fax: (317) 357-9070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01018058 Indiana

Profile Details

NPI number 1871574806
LBN Legal business name Judd, Russell L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Jul 9th, 2007 - about 19 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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