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:
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Health care specialties

SpecialtyCodeLicense #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 14 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 1609821321 NPPES
Other 064237001 MEDICARE DME
MEDICAID 30283000 MEDICARE DME
Other 41708100 MEDICARE DME

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