Dr. Elizabeth B Russell
Rheumatology
885 N Sandusky Ave
Upper Sandusky
, Ohio 43351-1098
Dr. Elizabeth B Russell
Rheumatology
885 N Sandusky Ave
Upper Sandusky
, Ohio 43351-1098
(419) 209-0278
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About
Features
Specialties
- Rheumatology
Languages spoken
- English
Location
First Address
- Dr. Elizabeth B Russell
- 885 N Sandusky Ave
- Upper Sandusky, OH
- Zip : 43351-1098
- Fax : (419) 209-0278
- Phone : (262) 515-3040
Second Address
- Dr. Elizabeth B Russell
- 885 N Sandusky Ave
- Upper Sandusky, OH
- Zip : 43351-1098
- Fax : (419) 294-4750
- Phone : (419) 294-4991
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RR0500X | Rheumatology | 27065 | WI |
| Y | 207RR0500X | Rheumatology | 35138914 | OH |
| N | 207RR0500X | Rheumatology | E-6331 | AR |
National Provider Identifier
| NPI | 1093767774 |
|---|---|
| Provider Name | Dr. Elizabeth B Russell |
| First Address | Upper Sandusky, OH 43351-1098 |
| Second Address | Upper Sandusky, OH 43351-1098 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2006 |
| Last Update Date | 17/07/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0394617 | (05) | OH |
| 1058858001 | DIAMOND PROVIDER ID (01) | WI |
| 30686300 | (05) | WI |
| 81018 | CHILDRENS COMM. HEALTH (01) | WI |
| 81018 | DEAN S.E MEDICAID (01) | WI |
| B56209 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.