Mccaig, Russell R
Mccaig, Russell R is an individual health care provider with primary practice located at 700 W Central Ave Ste 205, El Dorado KS 67042-2184. 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. Mccaig, Russell R can be contacted via phone (316) 321-2010.Contact Information
Primary practice address
700 W Central Ave Ste 205
El Dorado KS 67042-2184
Phone: (316) 321-2010
Fax: (316) 321-8871
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1500485 | Kansas |
Profile Details
NPI number | 1013983949 |
---|---|
LBN Legal business name | Mccaig, Russell R |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 28th, 2006 |
Last updated | Apr 8th, 2010 - about 15 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 | 1013983949 | NPPES |
Kansas | MEDICAID | 100343970A |
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