Russell, Eugene Fairchild

Russell, Eugene Fairchild is an individual health care provider with primary practice located at 3006 Redford Dr , Greensboro NC 27408-3116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Russell, Eugene Fairchild can be contacted via phone (336) 288-2218.

Contact Information

Primary practice address
3006 Redford Dr Greensboro NC 27408-3116
Phone: (336) 288-2218
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 19540 North Carolina
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 17481 Virginia

Profile Details

NPI number 1346210176
LBN Legal business name Russell, Eugene Fairchild
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346210176 NPPES
North Carolina MEDICAID NC 8974051

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