York, Russel H
York, Russel H is an individual health care provider with primary practice located at 4160 John R St Suite 917, Detroit MI 48201-2020. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. York, Russel H can be contacted via phone (313) 745-4525.Contact Information
Primary practice address
4160 John R St Suite 917
Detroit MI 48201-2020
Phone: (313) 745-4525
Fax: (313) 745-0011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301043619 | Michigan |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 4301043619 | Michigan |
Profile Details
| NPI number | 1912096744 |
|---|---|
| LBN Legal business name | York, Russel H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Mar 1st, 2022 - about 2 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 | 1912096744 | NPPES |
| Michigan | MEDICAID | 1943271 |
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