Tolley, Russell C
Tolley, Russell C is an individual health care provider with primary practice located at 80 Health Park Dr Ste 270, Louisville CO 80027-9584. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Tolley, Russell C can be contacted via phone (303) 661-1860.Contact Information
Primary practice address
80 Health Park Dr Ste 270
Louisville CO 80027-9584
Phone: (303) 661-1860
Fax: (303) 661-1861
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 28166 | Colorado |
Profile Details
| NPI number | 1851375414 |
|---|---|
| LBN Legal business name | Tolley, Russell C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2005 |
| Last updated | Dec 29th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851375414 | NPPES |
| Colorado | MEDICAID | 01281666 |
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