Russell, Gretel L.
Russell, Gretel L. is an individual health care provider with primary practice located at 3401 Independence Dr , Birmingham AL 35209-5662. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Russell, Gretel L. can be contacted via phone (205) 870-1273.Contact Information
Primary practice address
3401 Independence Dr
Birmingham AL 35209-5662
Phone: (205) 870-1273
Fax: (205) 870-1276
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 28117 | Alabama |
Profile Details
| NPI number | 1013989201 |
|---|---|
| LBN Legal business name | Russell, Gretel L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | May 1st, 2013 - about 12 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 | 1013989201 | NPPES |
| Alabama | MEDICAID | 009911070 |
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