Russo, Peter John

Russo, Peter John is an individual health care provider with primary practice located at 55 W Waterloo Rd , Akron OH 44319-1116. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Russo, Peter John can be contacted via phone (330) 724-7715.

Contact Information

Primary practice address
55 W Waterloo Rd Akron OH 44319-1116
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 50.000448 Ohio

Profile Details

NPI number 1356431456
LBN Legal business name Russo, Peter John
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Jul 8th, 2007 - about 18 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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