Russ, Edmond V

Russ, Edmond V is an sole proprietor health care provider with primary practice located at 1725 Harrodsburg Rd Ste 100 , Lexington KY 40504-3601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Russ, Edmond V can be contacted via phone (859) 278-7226.

Contact Information

Primary practice address
1725 Harrodsburg Rd Ste 100 Lexington KY 40504-3601
Phone: (859) 278-7226
Fax: (859) 276-1540
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 53439 Kentucky
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35082471R Ohio

Profile Details

NPI number 1598738874
LBN Legal business name Russ, Edmond V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2006
Last updated Feb 5th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598738874 NPPES
Ohio MEDICAID 2387297
Ohio Other K300750
Ohio MEDICAID 7100669920

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