Russel H. Etter Md
LBN: Russel H. Etter Md
Russel H. Etter Md is an health care organization with primary practice located at 55 Wyntre Brooke Dr , York PA 17403-4536. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty.
Russel H. Etter Md can be contacted via phone (717) 741-3896, or through Wolfgang, Pamela S via phone (717) 741-3896.
Contact Information
Primary practice address
55 Wyntre Brooke Dr
York PA 17403-4536
Phone: (717) 741-3896
Fax: (717) 741-5434
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | MD008050E | Pennsylvania |
Profile Details
| NPI number | 1346386992 |
|---|---|
| LBN Legal business name | Russel H. Etter Md |
| DBA Doing business as | |
| Authorized official | Wolfgang, Pamela S |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Nov 5th, 2009 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346386992 | NPPES |
| Pennsylvania | Other | 03206000 | CAPITAL BLUE CROSS |
| Pennsylvania | Other | 172355 | CAPITAL BLUE CROSS |
| Pennsylvania | Other | 0004626999 | CAPITAL BLUE CROSS |
| Pennsylvania | Other | 8110175 | CAPITAL BLUE CROSS |
| Pennsylvania | Other | 000018534 | CAPITAL BLUE CROSS |
| Pennsylvania | MEDICAID | 0643575 | CAPITAL BLUE CROSS |
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