Daniel, Russell K
Daniel, Russell K is an sole proprietor health care provider with primary practice located at 440 Society Hill Dr Ste 202 , Aiken SC 29803-1755. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Daniel, Russell K can be contacted via phone (803) 226-0102.Contact Information
Primary practice address
440 Society Hill Dr Ste 202
Aiken SC 29803-1755
Phone: (803) 226-0102
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 13779 | South Carolina |
Profile Details
| NPI number | 1376540260 |
|---|---|
| LBN Legal business name | Daniel, Russell K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Oct 6th, 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 | 1376540260 | NPPES |
| South Carolina | MEDICAID | 137792 |
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