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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740289057 NPPES
Colorado MEDICAID 38454351

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