Russell, Steven Richard
Russell, Steven Richard is an sole proprietor health care provider with primary practice located at 10285 Ridge Rd , Wheat Ridge CO 80033-2301. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Russell, Steven Richard can be contacted via phone (303) 463-2620.Contact Information
Primary practice address
10285 Ridge Rd
Wheat Ridge CO 80033-2301
Phone: (303) 463-2620
Fax: (303) 463-2651
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35854 | Colorado |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 35854 | Colorado |
Profile Details
| NPI number | 1588616163 |
|---|---|
| LBN Legal business name | Russell, Steven Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2006 |
| Last updated | Jun 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 | 1588616163 | NPPES |
| Colorado | MEDICAID | 01358548 | |
| Colorado | Other | C547738 |
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