Fell, William Russell
Fell, William Russell is an sole proprietor health care provider with primary practice located at 3802 22Nd #100, Lubbock TX 79410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Fell, William Russell can be contacted via phone (806) 792-5331.Contact Information
Primary practice address
3802 22Nd #100
Lubbock TX 79410
Phone: (806) 792-5331
Fax: (806) 792-9417
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 4303 | Alaska |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | J5090 | Texas |
Profile Details
| NPI number | 1134112865 |
|---|---|
| LBN Legal business name | Fell, William Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2005 |
| Last updated | Mar 24th, 2016 - about 10 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 | 1134112865 | NPPES |
| Alaska | MEDICAID | MD03211 | |
| Alaska | MEDICAID | 328541301 |
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