Russo, Karren
Russo, Karren is an individual health care provider with primary practice located at 2495 Shreveport Hwy , Pineville LA 71360-4044. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Russo, Karren can be contacted via phone (318) 473-0010.Contact Information
Primary practice address
2495 Shreveport Hwy
Pineville LA 71360-4044
Phone: (318) 473-0010
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | L12631R | Louisiana |
Profile Details
NPI number | 1467413815 |
---|---|
LBN Legal business name | Russo, Karren |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 28th, 2006 |
Last updated | Sep 11th, 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 | 1467413815 | NPPES |
Louisiana | MEDICAID | 1541362 | |
Louisiana | Other | P00178010 |
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