Russell, Jon A
Russell, Jon A is an individual health care provider with primary practice located at 2021 N Carothers Rd , Franklin TN 37067-5822. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Russell, Jon A can be contacted via phone (615) 791-2682.Contact Information
Primary practice address
2021 N Carothers Rd
Franklin TN 37067-5822
Phone: (615) 791-2682
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1275504433 |
|---|---|
| LBN Legal business name | Russell, Jon A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Mar 26th, 2021 - about 3 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 | 1275504433 | NPPES |
| Other | P00131238 | RAILROAD MEDICARE | |
| MEDICAID | 3896824 | RAILROAD MEDICARE | |
| Other | 4092453 | RAILROAD MEDICARE |
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