Russell, Erik L.

Russell, Erik L. is an individual health care provider with primary practice located at 171 Halenani Dr , Wailuku HI 96793-2402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Russell, Erik L. can be contacted via phone (808) 793-8943.

Contact Information

Primary practice address
171 Halenani Dr Wailuku HI 96793-2402
Phone: (808) 793-8943
Fax: (808) 495-0159
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D0043623 Maryland
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD-17813 Hawaii

Profile Details

NPI number 1710979695
LBN Legal business name Russell, Erik L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated May 3rd, 2024 - about 7 months 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 1710979695 NPPES
Maryland Other 025440 JHHC PROVIDER NUMBER
Maryland Other 283838 JHHC PROVIDER NUMBER
Maryland MEDICAID 312871700 JHHC PROVIDER NUMBER
Maryland Other 110223993 JHHC PROVIDER NUMBER
Maryland Other 532650-04 JHHC PROVIDER NUMBER
Maryland Other 1325758 JHHC PROVIDER NUMBER
Maryland Other 4492738 JHHC PROVIDER NUMBER
Maryland Other 691700 JHHC PROVIDER NUMBER
Maryland Other 7605-0044 JHHC PROVIDER NUMBER
Maryland Other P14805 JHHC PROVIDER NUMBER
Maryland Other 883838 JHHC PROVIDER NUMBER

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