Medbery, Russell S
Medbery, Russell S is an individual health care provider with primary practice located at 360 Tolland Tpke Suite 3B, Manchester CT 06042-1771. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as his primary health care specialty. Medbery, Russell S can be contacted via phone (860) 646-1157.Contact Information
Primary practice address
360 Tolland Tpke Suite 3B
Manchester CT 06042-1771
Phone: (860) 646-1157
Fax: (860) 646-9877
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 000040 | Connecticut |
Profile Details
NPI number | 1104860964 |
---|---|
LBN Legal business name | Medbery, Russell S |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 15th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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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