Carter, Russell A.

Carter, Russell A. is an individual health care provider with primary practice located at 100 N Academy Ave , Danville PA 17822-2775. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Carter, Russell A. can be contacted via phone (570) 271-6367.

Contact Information

Primary practice address
100 N Academy Ave Danville PA 17822-2775
Phone: (570) 271-6367
Fax: (570) 271-7142
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD440819 Pennsylvania

Profile Details

NPI number 1881637841
LBN Legal business name Carter, Russell A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Oct 19th, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881637841 NPPES
Pennsylvania MEDICAID 1025231760001

Popular Providers