Russell, Daniel W

Russell, Daniel W is an individual health care provider with primary practice located at 2900 1St Ave , Huntington WV 25702-1241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Russell, Daniel W can be contacted via phone (304) 526-1031.

Contact Information

Primary practice address
2900 1St Ave Huntington WV 25702-1241
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 17669 West Virginia
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35.062056 Ohio

Profile Details

NPI number 1861564098
LBN Legal business name Russell, Daniel W
Credentials ANESTHESIOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Sep 22nd, 2011 - about 13 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 1861564098 NPPES
West Virginia MEDICAID 0060658000
West Virginia Other 001720692
West Virginia Other 550696369-00

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