Dial, Russell
Dial, Russell is an individual health care provider with primary practice located at 1611 W Main St , El Centro CA 92243-2212. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Dial, Russell can be contacted via phone (760) 337-1144.Contact Information
Primary practice address
1611 W Main St
El Centro CA 92243-2212
Phone: (760) 337-1144
Fax: (760) 337-8259
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT32388 | California |
Profile Details
| NPI number | 1295798676 |
|---|---|
| LBN Legal business name | Dial, Russell |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Dec 13th, 2021 - about 3 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 | 1295798676 | NPPES |
| California | Other | WPT32388C | MEDICARE PTAN |
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