Vandyke, Russell Barrett
Vandyke, Russell Barrett is an individual health care provider with primary practice located at 1415 Tulane Ave , New Orleans LA 70112-2600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as his primary health care specialty. Vandyke, Russell Barrett can be contacted via phone (504) 988-2300.Contact Information
Primary practice address
1415 Tulane Ave
New Orleans LA 70112-2600
Phone: (504) 988-2300
Fax: (504) 988-7654
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 06179R | Louisiana |
Profile Details
| NPI number | 1972698132 |
|---|---|
| LBN Legal business name | Vandyke, Russell Barrett |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Mar 16th, 2012 - about 13 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 | 1972698132 | NPPES |
| Louisiana | MEDICAID | 1332691 |
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