Russell, Robert Irving

Russell, Robert Irving is an individual health care provider with primary practice located at 1717 11Th Ave South Suite 402, Birmingham AL 35205-4700. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Russell, Robert Irving can be contacted via phone (205) 933-9595.

Contact Information

Primary practice address
1717 11Th Ave South Suite 402 Birmingham AL 35205-4700
Phone: (205) 933-9595
Fax: (205) 933-5250
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 94 Alabama
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 94 Alabama

Profile Details

NPI number 1265420673
LBN Legal business name Russell, Robert Irving
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Feb 28th, 2013 - 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 1265420673 NPPES
Alabama Other 1201219 UNITED HEALTHCARE
Alabama Other 697685 UNITED HEALTHCARE

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