Russ, Brian W.

Russ, Brian W. is an individual health care provider with primary practice located at 5300 Far Hills Ave , Dayton OH 45429-2347. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Russ, Brian W. can be contacted via phone (937) 312-3830.

Contact Information

Primary practice address
5300 Far Hills Ave Dayton OH 45429-2347
Phone: (937) 312-3830
Fax: (937) 433-9612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 58606 Ohio

Profile Details

NPI number 1437169737
LBN Legal business name Russ, Brian W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Aug 3rd, 2016 - about 9 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 1437169737 NPPES
Ohio Other 759842 AETNA
Ohio Other 3380966 AETNA
Ohio Other P00977283 AETNA
Ohio Other 000000731123 AETNA
Ohio Other 7766410 AETNA

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