Thompson, Russell C

Thompson, Russell C is an individual health care provider with primary practice located at 1623 Haslett Rd , Haslett MI 48840. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Thompson, Russell C can be contacted via phone (517) 614-1104.

Contact Information

Primary practice address
1623 Haslett Rd Haslett MI 48840
Phone: (517) 614-1104
Fax: (517) 694-1692
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301407218 Michigan

Profile Details

NPI number 1194838938
LBN Legal business name Thompson, Russell C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Aug 12th, 2010 - about 14 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 1194838938 NPPES
Other 7388025 AETNA
Other 700C312390 AETNA
Other 6600006 AETNA

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