Patrick W Russell in South Bend - Neurology
Patrick W Russell - NPI 1144205113
Patrick W Russell is a Neurology in South Bend, Indiana. Patrick W Russell practices all healthcare services and medical treatments related to Neurology. The NPI Number for Patrick W Russell is 1144205113. The last update date is 2023-05-19.
Patrick W Russell's current location address is 615 N Michigan St, South Bend, Indiana. You can contact this provider via phone number 5746473050 and fax number 5746471094. The mailing address for Patrick W Russell is 615 N Michigan St, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Patrick W Russell |
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Address | 615 N Michigan St, South Bend, Indiana |
Phone Number | 5746473050 |
Fax Number | 5746471094 |
Sole Proprietor | Y |
Credentials | D.O. |
NPI Number Detail
NPI Number | 1144205113 |
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Provider Enumeration Date | 2005-12-13 |
Last Updated Date | 2023-05-19 |
Provider Mailing Address Detail
Address | 615 N Michigan St |
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City | South Bend |
State | Indiana (IN) |
Post Code | 466011033 |
Phone Number | 5746473050 |
Fax Number | 5746471094 |
Provider's Primary Taxonomy Detail
Speciality | Neurology |
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Taxonomy | 2084N0400X |
Licence No | 2001219 |
Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
215919 | IN | BLUE SHIELD | |
100114080 | IN | -- | |
130024231 | IN | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the unique identifier code issued to Patrick W Russell by the Centers for Medicare & Medicaid Services (CMS)?
The Patrick W Russell has been assigned the NPI (National Provider Identifier) 1144205113. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Patrick W Russell?
The Patrick W Russell is situated at 615 N Michigan St, in the city of South Bend, state of IN, with the zip code 466011033.
What is Patrick W Russell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Patrick W Russell is Neurology, and the taxonomy code that categorizes this field of expertise is 2084N0400X.
When did the Patrick W Russell receive its 1144205113?
The Patrick W Russell was issued its 1144205113 on 2005-12-13, which is the date when the organization was assigned this unique identifier.
When was the information related to Patrick W Russell most recently updated or refreshed?
The details pertaining to the Patrick W Russell, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-05-19.
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