Lindstrom, John Russell
Lindstrom, John Russell is an individual health care provider with primary practice located at 2116 Craig Rd , Eau Claire WI 54701-6149. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Lindstrom, John Russell can be contacted via phone (715) 858-4650.Contact Information
Primary practice address
2116 Craig Rd
Eau Claire WI 54701-6149
Phone: (715) 858-4650
Fax: (715) 858-4511
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 22441 | Wisconsin |
Profile Details
NPI number | 1609821321 |
---|---|
LBN Legal business name | Lindstrom, John Russell |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 23rd, 2006 |
Last updated | Jun 6th, 2011 - about 13 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 | 1609821321 | NPPES |
Other | 064237001 | MEDICARE DME | |
MEDICAID | 30283000 | MEDICARE DME | |
Other | 41708100 | MEDICARE DME |
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