Russ, Thomas
Russ, Thomas is an sole proprietor health care provider with primary practice located at 2510 Airpark Dr Suite 302, Redding CA 96001-2462. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Russ, Thomas can be contacted via phone (530) 241-7300.Contact Information
Primary practice address
2510 Airpark Dr Suite 302
Redding CA 96001-2462
Phone: (530) 241-7300
Fax: (530) 241-9783
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A34080 | California |
Profile Details
| NPI number | 1306869185 |
|---|---|
| LBN Legal business name | Russ, Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1306869185 | NPPES |
| California | MEDICAID | 00A340800 |
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