Prentice, John Russell
Prentice, John Russell is an individual health care provider with primary practice located at 11808 Ne Fourth Plain Rd Suite A, Vancouver WA 98682-5524. 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. Prentice, John Russell can be contacted via phone (360) 253-6947.Contact Information
Primary practice address
11808 Ne Fourth Plain Rd Suite A
Vancouver WA 98682-5524
Phone: (360) 253-6947
Fax: (360) 256-9547
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10002522 | West Virginia |
Profile Details
| NPI number | 1497736110 |
|---|---|
| LBN Legal business name | Prentice, John Russell |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| 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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