Russo, Peter Martin

Russo, Peter Martin is an individual health care provider with primary practice located at 1611 Feather River Blvd Suite #10, Oroville CA 95965. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Russo, Peter Martin can be contacted via phone (530) 534-4530.

Contact Information

Primary practice address
1611 Feather River Blvd Suite #10 Oroville CA 95965
Phone: (530) 534-4530
Fax: (530) 532-8290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G39732 California

Profile Details

NPI number 1679528350
LBN Legal business name Russo, Peter Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jul 8th, 2007 - about 17 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 1679528350 NPPES
Other P00143859 RAILROAD MEDICARE RRM
MEDICAID 00G397320 RAILROAD MEDICARE RRM

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