Russell-Jenkins, Shane B
Russell-Jenkins, Shane B is an individual health care provider with primary practice located at 2555 E Gila Ridge Rd , Yuma AZ 85365-2240. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Russell-Jenkins, Shane B can be contacted via phone (928) 317-9972.Contact Information
Primary practice address
2555 E Gila Ridge Rd
Yuma AZ 85365-2240
Phone: (928) 317-9972
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD2004-0132 | New Mexico |
Profile Details
| NPI number | 1508978750 |
|---|---|
| LBN Legal business name | Russell-Jenkins, Shane B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Sep 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 | 1508978750 | NPPES |
| New Mexico | MEDICAID | 77456581 |
Popular Providers
-
Parish, Brooke
2400 S Avenue A , Yuma AZ 85364-7127 -
Bowling, Patricia Jean
1350 E 750 N , Orem UT 84097-4345 -
Heller, Matthew
Marine Corps Air Station Yuma Bldg. 645, Room 207, Yuma AZ 85365 -
Michel, Jaime T
3250A E 40Th St , Yuma AZ 85365-7748 -
Bindal, Ankur
2400 S Avenue A , Yuma AZ 85364-7127 -
Tosado Rivera, Miguel Angel
2851 S Avenue B Bldg 20 , Yuma AZ 85364-7726 -
Cartagena, Maria T
85 Bryant Woods S , Amherst NY 14228-3604 -
Cancino Gacharna, Lorena
2851 S Avenue B Bldg 19 , Yuma AZ 85364-7726