Russell, James
Russell, James is an sole proprietor health care provider with primary practice located at 308 S Main St , Sapulpa OK 74066-4110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Russell, James can be contacted via phone (918) 224-3081.Contact Information
Primary practice address
308 S Main St
Sapulpa OK 74066-4110
Phone: (918) 224-3081
Fax: (918) 224-5059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 13810 | Oklahoma |
Profile Details
| NPI number | 1508950379 |
|---|---|
| LBN Legal business name | Russell, James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jun 9th, 2010 - about 14 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 | 1508950379 | NPPES |
| Oklahoma | MEDICAID | 100134450A | |
| Oklahoma | Other | 100134450B |
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