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Contact Information

RUSSELL F JOHNSON, MD
1215 LAWN AVE STE 120
ELKHART, IN46514-2450
 Phone: 574-523-2733
 Fax: 574-523-3251
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for RUSSELL F JOHNSON · (Male)

NPI Number 1003801283
Status Active
Credentials MD
Entity Individual
Enumeration date 09/14/2005
Last updated 07/16/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01039533
  • IN Medicaid 200001710
Hospital affiliation(s)
  • ELKHART GENERAL HOSPITAL - (Acute Care)
    600 E BLVD
    ELKHART, IN 46514
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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