Gamber, Russell
Gamber, Russell is an individual health care provider with primary practice located at 855 Montgomery St , Fort Worth TX 76107-2553. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, which is considered as his primary health care specialty. Gamber, Russell can be contacted via phone (817) 735-2235.Contact Information
Primary practice address
855 Montgomery St
Fort Worth TX 76107-2553
Phone: (817) 735-2235
Fax: (817) 735-2480
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | E7085 | Texas |
Profile Details
NPI number | 1700859154 |
---|---|
LBN Legal business name | Gamber, Russell |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 8th, 2006 |
Last updated | Sep 19th, 2011 - about 14 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 | 1700859154 | NPPES |
Texas | MEDICAID | 129820004 | |
Texas | Other | 120001868 | |
Texas | Other | 859711 |
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