Russell, Jeffrey

Russell, Jeffrey is an individual health care provider with primary practice located at 10 Members Way Suite 203, Dover NH 03820-5933. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Russell, Jeffrey can be contacted via phone (603) 742-3174.

Contact Information

Primary practice address
10 Members Way Suite 203 Dover NH 03820-5933
Phone: (603) 742-3174
Fax: (603) 742-1855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7528 New Hampshire
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD15554 Maine

Profile Details

NPI number 1821037557
LBN Legal business name Russell, Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Feb 17th, 2014 - about 11 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 1821037557 NPPES
New Hampshire MEDICAID 3075044
New Hampshire MEDICAID 1821037557

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