Parker, Russell Kenneth
Parker, Russell Kenneth is an sole proprietor health care provider with primary practice located at 1613 Bayita Ln Nw , Albuquerque NM 87107-3320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Parker, Russell Kenneth can be contacted via phone (505) 269-4669.Contact Information
Primary practice address
1613 Bayita Ln Nw
Albuquerque NM 87107-3320
Phone: (505) 269-4669
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 99277 | New Mexico |
Profile Details
| NPI number | 1811963457 |
|---|---|
| LBN Legal business name | Parker, Russell Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Jun 28th, 2016 - about 9 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 | 1811963457 | NPPES |
| New Mexico | MEDICAID | Z6244 |
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