Russell, Calvin
Russell, Calvin is an individual health care provider with primary practice located at 1391 N Baldwin Ave , Marion IN 46952-1913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Russell, Calvin can be contacted via phone (765) 662-2534.Contact Information
Primary practice address
1391 N Baldwin Ave
Marion IN 46952-1913
Phone: (765) 662-2534
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01024365 | Indiana |
Profile Details
| NPI number | 1992775456 |
|---|---|
| LBN Legal business name | Russell, Calvin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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