Parker, Russell Bruce
Parker, Russell Bruce is an sole proprietor health care provider with primary practice located at 3441 24Th Ave Nw Ste 105 , Norman OK 73069-6716. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics is his primary health care specialty. Parker, Russell Bruce can be contacted via phone (405) 321-2929.Contact Information
Primary practice address
3441 24Th Ave Nw Ste 105
Norman OK 73069-6716
Phone: (405) 321-2929
Fax: (405) 366-8701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 15169 | Oklahoma |
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 15169 | Oklahoma |
Profile Details
| NPI number | 1205844420 |
|---|---|
| LBN Legal business name | Parker, Russell Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Jun 14th, 2022 - about 3 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 | 1205844420 | NPPES |
| Oklahoma | MEDICAID | 100147560A |
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