Libby, Russell Philip
Libby, Russell Philip is an individual health care provider with primary practice located at 1 Medical Park Blvd , Bristol TN 37620-7430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Libby, Russell Philip can be contacted via phone (423) 844-1211.Contact Information
Primary practice address
1 Medical Park Blvd
Bristol TN 37620-7430
Phone: (423) 844-1211
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 70724 | Tennessee |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | S5214 | Texas |
Profile Details
| NPI number | 1902216740 |
|---|---|
| LBN Legal business name | Libby, Russell Philip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2014 |
| Last updated | Mar 13th, 2024 - about last year |
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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