Oliver, Russell Dale

Oliver, Russell Dale is an individual health care provider with primary practice located at 1874 Beltline Rd Sw , Decatur AL 35601-5514. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Oliver, Russell Dale can be contacted via phone (256) 301-3340.

Contact Information

Primary practice address
1874 Beltline Rd Sw Decatur AL 35601-5514
Phone: (256) 301-3340
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1-076076 Alabama

Profile Details

NPI number 1497894745
LBN Legal business name Oliver, Russell Dale
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jul 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497894745 NPPES
Alabama Other 52959 CRNA LICENSE
Alabama Other 1-076076 CRNA LICENSE
Alabama Other 076076 CRNA LICENSE

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