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Contact Information

RUSSELL J SALOOM PROF MED CORP
9237 BLUEBONNET BLVD
BATON ROUGE, LA70810-2808
 Phone: 225-766-1110
 Fax: 225-766-1112
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for RUSSELL J SALOOM PROF MED CORP

NPI # 1538169149
LBN Legal business name RUSSELL J SALOOM PROF MED CORP
Authorized official RUSSELL SALOOM - (OWNER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/26/2005
Last updated 12/19/2007 - About 18 years ago
Identifiers
LA License # 018298
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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