Russo, Steven Christopher
Russo, Steven Christopher is an individual health care provider with primary practice located at 10315 Hamptons Park Dr , Huntersville NC 28078-7217. 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, Steven Christopher can be contacted via phone (704) 323-2800.Contact Information
Primary practice address
10315 Hamptons Park Dr
Huntersville NC 28078-7217
Phone: (704) 323-2800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0010-07102 | North Carolina |
Profile Details
| NPI number | 1720266364 |
|---|---|
| LBN Legal business name | Russo, Steven Christopher |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2008 |
| Last updated | Dec 22nd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720266364 | NPPES |
| South Carolina | MEDICAID | 3725PA | |
| South Carolina | MEDICAID | 1720266364 |
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