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:
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Health care specialties

SpecialtyCodeLicense #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 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134112865 NPPES
Alaska MEDICAID MD03211
Alaska MEDICAID 328541301

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