Ford, Everett Russell

Ford, Everett Russell is an individual health care provider with primary practice located at 2010 Health Campus Dr , Rockingham VA 22801-8679. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ford, Everett Russell can be contacted via phone (540) 689-1110.

Contact Information

Primary practice address
2010 Health Campus Dr Rockingham VA 22801-8679
Phone: (540) 689-1110
Fax: (540) 689-1119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101254961 Virginia

Profile Details

NPI number 1639164783
LBN Legal business name Ford, Everett Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Aug 28th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639164783 NPPES
Virginia MEDICAID 1639164783

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