Russell, David S

Russell, David S is an individual health care provider with primary practice located at 438 High St , Lockport NY 14094-4742. 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. Russell, David S can be contacted via phone (716) 439-0193.

Contact Information

Primary practice address
438 High St Lockport NY 14094-4742
Phone: (716) 439-0193
Fax: (716) 438-3543
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 005332-1 New York

Profile Details

NPI number 1295733921
LBN Legal business name Russell, David S
Credentials RPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Sep 24th, 2010 - about 14 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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