Russell, Raymond G.
Russell, Raymond G. is an individual health care provider with primary practice located at 5250 Far Hills Ave Suite 150, Kettering OH 45429. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Russell, Raymond G. can be contacted via phone (937) 434-4611.Contact Information
Primary practice address
5250 Far Hills Ave Suite 150
Kettering OH 45429
Phone: (937) 434-4611
Fax: (937) 434-9107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 35036352 | Ohio |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 35.036352 | Ohio |
Profile Details
| NPI number | 1750339685 |
|---|---|
| LBN Legal business name | Russell, Raymond G. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Jul 8th, 2009 - about 16 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 | 1750339685 | NPPES |
| Ohio | MEDICAID | 0521537 |
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