Schub, Russell Owen

Schub, Russell Owen is an individual health care provider with primary practice located at 8875 Centre Park Dr Suite D, Columbia MD 21045-2114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Schub, Russell Owen can be contacted via phone (410) 730-1000.

Contact Information

Primary practice address
8875 Centre Park Dr Suite D Columbia MD 21045-2114
Phone: (410) 730-1000
Fax: (410) 730-8615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X H35058 Maryland

Profile Details

NPI number 1679583587
LBN Legal business name Schub, Russell Owen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jan 8th, 2009 - about 15 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 1679583587 NPPES
Maryland MEDICAID 526471500

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