Russo, Anthony R
Russo, Anthony R is an individual health care provider with primary practice located at 1326 E Little Creek Rd , Norfolk VA 23518. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Russo, Anthony R can be contacted via phone (757) 583-6338.Contact Information
Primary practice address
1326 E Little Creek Rd
Norfolk VA 23518
Phone: (757) 583-6338
Fax: (757) 531-9410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101045049 | Virginia |
Profile Details
| NPI number | 1427023720 |
|---|---|
| LBN Legal business name | Russo, Anthony R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Oct 26th, 2011 - about 13 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 | 1427023720 | NPPES |
| Virginia | MEDICAID | 005619424 |
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