Russinoff, Ian
Russinoff, Ian is an individual health care provider with primary practice located at 1411 N Flagler Dr Ste 6200 , West Palm Beach FL 33401-3416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Russinoff, Ian can be contacted via phone (561) 820-8580.Contact Information
Primary practice address
1411 N Flagler Dr Ste 6200
West Palm Beach FL 33401-3416
Phone: (561) 820-8580
Fax: (561) 820-8581
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ME 91596 | Florida |
Profile Details
NPI number | 1477548295 |
---|---|
LBN Legal business name | Russinoff, Ian |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 19th, 2005 |
Last updated | Feb 13th, 2023 - about last year |
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 | 1477548295 | NPPES |
Florida | MEDICAID | 271745000 | |
Florida | Other | 01571 |
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