Lee-Wood, Russell S

Lee-Wood, Russell S is an sole proprietor health care provider with primary practice located at 51342 National Rd Ste J , Saint Clairsville OH 43950-1700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lee-Wood, Russell S can be contacted via phone (740) 695-3000.

Contact Information

Primary practice address
51342 National Rd Ste J Saint Clairsville OH 43950-1700
Fax: (740) 695-6486
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35068217 Ohio

Profile Details

NPI number 1619928488
LBN Legal business name Lee-Wood, Russell S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2006
Last updated Oct 22nd, 2020 - about 5 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 1619928488 NPPES
Ohio Other LE2011911 MEDICARE FQHC PIN
Ohio MEDICAID 0156423 MEDICARE FQHC PIN

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