Russell, Robert M.
Russell, Robert M. is an individual health care provider with primary practice located at 330 S Stillaguamish Ave , Arlington WA 98223-1642. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Russell, Robert M. can be contacted via phone (360) 435-2133.Contact Information
Primary practice address
330 S Stillaguamish Ave
Arlington WA 98223-1642
Phone: (360) 435-2133
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | MD00016164 | Washington |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD00016164 | Washington |
Profile Details
NPI number | 1497705800 |
---|---|
LBN Legal business name | Russell, Robert M. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 10th, 2006 |
Last updated | Aug 23rd, 2010 - about 15 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 | 1497705800 | NPPES |
Washington | MEDICAID | 8151409 |
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