Shipman, Russell

Shipman, Russell is an individual health care provider with primary practice located at 13535 Nemours Pkwy , Orlando FL 32827-7402. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Shipman, Russell can be contacted via phone (407) 567-4000.

Contact Information

Primary practice address
13535 Nemours Pkwy Orlando FL 32827-7402
Phone: (407) 567-4000
Fax: (407) 567-5924
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25439 New Hampshire
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 34.016517 Ohio
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X OS13106 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X OS13106 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0102208378 Virginia

Profile Details

NPI number 1871606210
LBN Legal business name Shipman, Russell
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Feb 21st, 2024 - about 7 months 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 1871606210 NPPES
Florida MEDICAID 014 526 800

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