Peyton, Russell E
Peyton, Russell E is an individual health care provider with primary practice located at 200 Clinic Dr , Madisonville KY 42431-1661. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Peyton, Russell E can be contacted via phone (270) 824-6655.Contact Information
Primary practice address
200 Clinic Dr
Madisonville KY 42431-1661
Phone: (270) 824-6655
Fax: (270) 824-6629
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3006839 | Kentucky |
Profile Details
| NPI number | 1932406212 |
|---|---|
| LBN Legal business name | Peyton, Russell E |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2011 |
| Last updated | Mar 15th, 2017 - about 7 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 | 1932406212 | NPPES |
| Kentucky | MEDICAID | 7100156510 | |
| Kentucky | Other | 0000000733164 |
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