Russell, C Scott
Russell, C Scott is an individual health care provider with primary practice located at 4105 Briargate Pkwy Ste 200 , Colorado Springs CO 80920-3484. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Russell, C Scott can be contacted via phone (719) 599-4692.Contact Information
Primary practice address
4105 Briargate Pkwy Ste 200
Colorado Springs CO 80920-3484
Phone: (719) 599-4692
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 40143 | Colorado |
Profile Details
| NPI number | 1740289057 |
|---|---|
| LBN Legal business name | Russell, C Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Jul 31st, 2018 - about 6 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 | 1740289057 | NPPES |
| Colorado | MEDICAID | 38454351 |
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