Russillo, Richard William

Russillo, Richard William is an individual health care provider with primary practice located at 1550 Boyson Rd , Hiawatha IA 52233-2362. He recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Russillo, Richard William can be contacted via phone (319) 743-7300.

Contact Information

Primary practice address
1550 Boyson Rd Hiawatha IA 52233-2362
Fax: (319) 743-7311
Website:

Profile Details

NPI number 1740630938
LBN Legal business name Russillo, Richard William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2016
Last updated Jul 16th, 2020 - about 4 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 1740630938 NPPES
Iowa Other MD-47149 MEDICAL LICENSE

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