Martin, Russell Lee

Martin, Russell Lee is an individual health care provider with primary practice located at 200 Veterans Ave , Beckley WV 25801-6444. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Martin, Russell Lee can be contacted via phone (304) 255-2121.

Contact Information

Primary practice address
200 Veterans Ave Beckley WV 25801-6444
Phone: (304) 255-2121
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Illinois

Profile Details

NPI number 1730387051
LBN Legal business name Martin, Russell Lee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2007
Last updated Sep 25th, 2007 - about 17 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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