Russo, John Marshall

Russo, John Marshall is an sole proprietor health care provider with primary practice located at 700 Childrens Dr , Columbus OH 43205-2664. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Russo, John Marshall can be contacted via phone (614) 722-2600.

Contact Information

Primary practice address
700 Childrens Dr Columbus OH 43205-2664
Phone: (614) 722-2600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 35084874 Ohio

Profile Details

NPI number 1770579583
LBN Legal business name Russo, John Marshall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2005
Last updated Nov 23rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770579583 NPPES
Kentucky MEDICAID 64086051
Kentucky Other 4137752
Kentucky MEDICAID 2501028

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