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
Fax: (316) 321-8871
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013983949 NPPES
Kansas MEDICAID 100343970A

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