Russo, Peter

Russo, Peter is an individual health care provider with primary practice located at 120 Ochsner Blvd , Gretna LA 70056-5255. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Russo, Peter can be contacted via phone (504) 391-7620.

Contact Information

Primary practice address
120 Ochsner Blvd Gretna LA 70056-5255
Phone: (504) 391-7620
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1720627037
LBN Legal business name Russo, Peter
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2020
Last updated Jan 3rd, 2020 - about 4 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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