Russell, John J
Russell, John J is an individual health care provider with primary practice located at 500 York Rd Suite #108, Jenkintown PA 19046-2852. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Russell, John J can be contacted via phone (215) 481-2725.Contact Information
Primary practice address
500 York Rd Suite #108
Jenkintown PA 19046-2852
Phone: (215) 481-2725
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD047817L | Pennsylvania |
Profile Details
| NPI number | 1336171206 |
|---|---|
| LBN Legal business name | Russell, John J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Jul 14th, 2014 - about 10 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 | 1336171206 | NPPES |
| Pennsylvania | MEDICAID | 1414559 |
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