Russell, Timothy Paul
Russell, Timothy Paul is an individual health care provider with primary practice located at Unit 45011 Bldg 704, Attn: Mcja-Qm Usa Meddac-Japan, Apo AP 96338-5011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Russell, Timothy Paul can be contacted via phone 011813117.Contact Information
Primary practice address
Unit 45011 Bldg 704, Attn: Mcja-Qm Usa Meddac-Japan
Apo AP 96338-5011
Phone: 011813117
Fax: 4127
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 21584-020 | Wisconsin |
Profile Details
| NPI number | 1770565087 |
|---|---|
| LBN Legal business name | Russell, Timothy Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2005 |
| Last updated | Jul 21st, 2022 - about 2 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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