Russell, Stephen R
Russell, Stephen R is an individual health care provider with primary practice located at 3262 Salt Creek Cir , Lincoln NE 68504-4761. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Russell, Stephen R can be contacted via phone (402) 465-5600.Contact Information
Primary practice address
3262 Salt Creek Cir
Lincoln NE 68504-4761
Phone: (402) 465-5600
Fax: (402) 437-0852
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 20029 | Nebraska |
Profile Details
| NPI number | 1083691133 |
|---|---|
| LBN Legal business name | Russell, Stephen R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Mar 6th, 2017 - about 7 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 | 1083691133 | NPPES |
| Nebraska | MEDICAID | 10025151600 | |
| Nebraska | MEDICAID | 47079049100 | |
| Nebraska | MEDICAID | 10026369300 | |
| Nebraska | MEDICAID | 47079049112 |
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