Sanders, Russell Eugene

Sanders, Russell Eugene is an sole proprietor health care provider with primary practice located at 450 Newport Center Dr Suite 650, Newport Beach CA 92660-7610. 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. Sanders, Russell Eugene can be contacted via phone (949) 644-5800.

Contact Information

Primary practice address
450 Newport Center Dr Suite 650 Newport Beach CA 92660-7610
Phone: (949) 644-5800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 15863 California

Profile Details

NPI number 1790989093
LBN Legal business name Sanders, Russell Eugene
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2007
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 1790989093 NPPES
California Other PA 15863 LICENSE

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