Campbell, Russell Witter
Campbell, Russell Witter is an individual health care provider with primary practice located at 156 Strawberry Plains Rd Suite A, Williamsburg VA 23188-3409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Campbell, Russell Witter can be contacted via phone (757) 229-7939.Contact Information
Primary practice address
156 Strawberry Plains Rd Suite A
Williamsburg VA 23188-3409
Phone: (757) 229-7939
Fax: (757) 229-7897
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 51819 | Montana |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 0101046591 | Virginia |
Profile Details
| NPI number | 1104880160 |
|---|---|
| LBN Legal business name | Campbell, Russell Witter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Oct 4th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104880160 | NPPES |
| Virginia | MEDICAID | 1104880160 |
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