Fry, Russell L

Fry, Russell L is an individual health care provider with primary practice located at 5187 Us Route 60 E Ste 6, Huntington WV 25705-2076. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Fry, Russell L can be contacted via phone (304) 691-8800.

Contact Information

Primary practice address
5187 Us Route 60 E Ste 6 Huntington WV 25705-2076
Phone: (304) 691-8800
Fax: (304) 302-0221
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 200501699 North Carolina
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 21418 West Virginia

Profile Details

NPI number 1114981826
LBN Legal business name Fry, Russell L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Dec 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114981826 NPPES
North Carolina MEDICAID 5902537

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