Shatford, Russell Alexander

Shatford, Russell Alexander is an individual health care provider with primary practice located at 315 E Broadway Suite 195, Louisville KY 40202-3700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery of the Hand, which is considered as his primary health care specialty. Shatford, Russell Alexander can be contacted via phone (502) 629-4263.

Contact Information

Primary practice address
315 E Broadway Suite 195 Louisville KY 40202-3700
Phone: (502) 629-4263
Fax: (502) 629-4282
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X 30782 Kentucky

Profile Details

NPI number 1073699252
LBN Legal business name Shatford, Russell Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Jan 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073699252 NPPES
Kentucky Other 000057058U HUMANA - LAH
Kentucky Other 4632527 HUMANA - LAH
Kentucky MEDICAID 64307820 HUMANA - LAH
Kentucky Other 000000694192 HUMANA - LAH
Kentucky Other 121306 HUMANA - LAH
Kentucky Other 50030992 HUMANA - LAH

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