Russell, Allen J
Russell, Allen J is an sole proprietor health care provider with primary practice located at 32401 8 Mile Rd , Livonia MI 48152-1301. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Russell, Allen J can be contacted via phone (913) 359-6001.Contact Information
Primary practice address
32401 8 Mile Rd
Livonia MI 48152-1301
Phone: (913) 359-6001
Fax: (913) 359-5552
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 4301042036 | Michigan |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 4301042036 | Michigan |
Profile Details
| NPI number | 1184627945 |
|---|---|
| LBN Legal business name | Russell, Allen J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2005 |
| Last updated | Nov 9th, 2023 - about last year |
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 | 1184627945 | NPPES |
| Michigan | Other | 4301042036 | STATE LICENSE |
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