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Contact Information

RUSSELL E BELENCHIA, DO
24345 HIGHWAY 15
UNION, MS39365-8575
 Phone: 601-774-8211
 Fax: 601-774-8589
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for RUSSELL E BELENCHIA · (Male)

NPI Number 1700868452
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 11/17/2005
Last updated 11/07/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 10063
  • MS Medicaid 00115507
  • Other 080168657 RAILROAD MEDICARE
Hospital affiliation(s)
  • H C WATKINS MEMORIAL HOSPITAL INC - (Critical Access)
    605 SOUTH ARCHUSA AVENUE
    QUITMAN, MS 39355
  • LAIRD HOSPITAL INC - (Critical Access)
    25117 HIGHWAY 15
    UNION, MS 39365
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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