Taylor, Russell J

Taylor, Russell J is an individual health care provider with primary practice located at 770 West High Street Suite 350, Lima OH 45801-5901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Taylor, Russell J can be contacted via phone (419) 228-8950.

Contact Information

Primary practice address
770 West High Street Suite 350 Lima OH 45801-5901
Phone: (419) 228-8950
Fax: (419) 224-7904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 35045028 Ohio

Profile Details

NPI number 1821074162
LBN Legal business name Taylor, Russell J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Aug 15th, 2013 - about 11 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 1821074162 NPPES
Ohio Other 06151 PARAMOUNT ADVANTAGE MEDICAID
Ohio MEDICAID 0437932 PARAMOUNT ADVANTAGE MEDICAID
Ohio Other 4218612 PARAMOUNT ADVANTAGE MEDICAID
Ohio Other 735041 PARAMOUNT ADVANTAGE MEDICAID
Ohio Other 3358254 PARAMOUNT ADVANTAGE MEDICAID
Ohio Other 000000596289 PARAMOUNT ADVANTAGE MEDICAID
Ohio Other 262788491032 PARAMOUNT ADVANTAGE MEDICAID

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