Russell, Edgar
Russell, Edgar is an individual health care provider with primary practice located at 6276 River Crest Dr , Riverside CA 92507-0754. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Russell, Edgar can be contacted via phone (951) 413-0964.Contact Information
Primary practice address
6276 River Crest Dr
Riverside CA 92507-0754
Phone: (951) 413-0964
Fax: (951) 653-5161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 20A6100 | California |
Profile Details
| NPI number | 1790707156 |
|---|---|
| LBN Legal business name | Russell, Edgar |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790707156 | NPPES |
| California | MEDICAID | GR0086790 |
Popular Providers
-
Shaffer, Cynthia Fernandez
9309 Apison Pike , Ooltewah TN 37363-4340 -
Lagac, Paul A
774 College Hwy , Southwick MA 01077-9690 -
Maltz, Jonathan
3300 Olney Sandy Spring Rd Ste 330 , Olney MD 20832-3305 -
Sandberg, Lawrence B
2880 Hulen Pl , Riverside CA 92507-2606 -
Annabel, Roger G
11705 Slate Ave #200, Riverside CA 92505 -
Putland, Michael Stuart
14200 W Fillmore St , Goodyear AZ 85338-3005 -
Vanwinkle, David A
6401 Prairie St Suite 1600, Muskegon MI 49444-7840 -
Zane, Charlotte
4500 Riverwalk Parkway , Riverside CA 92505-8247