Russell, Elizabeth B

Russell, Elizabeth B is an individual health care provider with primary practice located at 885 N Sandusky Ave , Upper Sandusky OH 43351-1098. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Russell, Elizabeth B can be contacted via phone (419) 294-4991.

Contact Information

Primary practice address
885 N Sandusky Ave Upper Sandusky OH 43351-1098
Phone: (419) 294-4991
Fax: (419) 294-4750
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 27065 Wisconsin
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X E-6331 Arkansas
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 35138914 Ohio

Profile Details

NPI number 1093767774
LBN Legal business name Russell, Elizabeth B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 17th, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093767774 NPPES
Wisconsin MEDICAID 30686300
Wisconsin Other 81018
Wisconsin Other 81018
Wisconsin Other 1058858001
Wisconsin MEDICAID 0394617

Popular Providers