Smith, Russel N
Smith, Russel N is an sole proprietor health care provider with primary practice located at 5900 Coliseum Blvd , Alexandria LA 71303-3714. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smith, Russel N can be contacted via phone (318) 386-8110.Contact Information
Primary practice address
5900 Coliseum Blvd
Alexandria LA 71303-3714
Phone: (318) 386-8110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 59098491205 | Utah |
Profile Details
| NPI number | 1184685158 |
|---|---|
| LBN Legal business name | Smith, Russel N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2006 |
| Last updated | Oct 21st, 2020 - about 4 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 | 1184685158 | NPPES |
| Utah | MEDICAID | D6204 |
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