Maples, Russell Vaughn
Maples, Russell Vaughn is an individual health care provider with primary practice located at 7222 Engle Road , Fort Wayne IN 46804-2222. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Maples, Russell Vaughn can be contacted via phone (260) 432-5005.Contact Information
Primary practice address
7222 Engle Road
Fort Wayne IN 46804-2222
Phone: (260) 432-5005
Fax: (260) 432-6003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 01058221A | Indiana |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 019557 | Georgia |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 17076 | South Carolina |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | MD - 11810 | Hawaii |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 01058221A | Indiana |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 019557 | Georgia |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 17076 | South Carolina |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD - 11810 | Hawaii |
Profile Details
| NPI number | 1871556951 |
|---|---|
| LBN Legal business name | Maples, Russell Vaughn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Mar 14th, 2012 - about 12 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 | 1871556951 | NPPES |
| Indiana | MEDICAID | 200460250 | |
| Indiana | Other | 000000024268 | |
| Indiana | Other | 000000298856 | |
| Indiana | Other | 1597162009 | |
| Indiana | Other | 352007446100 | |
| Indiana | Other | P00153026 | |
| Indiana | Other | 10987543 | |
| Indiana | Other | 4395006 |
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