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Contact Information

JAMES RUSS
500 RODERICK ST STE B
MORGAN CITY, LA70380-2278
 Phone: 985-380-2460
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JAMES RUSS · (Male)

NPI # 1194143701
Status Active
Credentials
Entity Individual
Enumeration date 04/01/2014
Last updated 08/19/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 304950
  • LA Medicaid 2362437
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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