Russo, Carolyn L.
Russo, Carolyn L. is an individual health care provider with primary practice located at 910 Adams St Se Suite 310, Huntsville AL 35801-3730. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Russo, Carolyn L. can be contacted via phone (256) 265-5833.Contact Information
Primary practice address
910 Adams St Se Suite 310
Huntsville AL 35801-3730
Phone: (256) 265-5833
Fax: (256) 265-5834
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | G55159 | California |
Profile Details
NPI number | 1851478796 |
---|---|
LBN Legal business name | Russo, Carolyn L. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 31st, 2006 |
Last updated | Jan 30th, 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 | 1851478796 | NPPES |
California | MEDICAID | 00G551590 |
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