Russell, David Thomas
Russell, David Thomas is an individual health care provider with primary practice located at 121 N Tulpehocken St , Pine Grove PA 17963-1217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Russell, David Thomas can be contacted via phone (570) 345-2345.Contact Information
Primary practice address
121 N Tulpehocken St
Pine Grove PA 17963-1217
Phone: (570) 345-2345
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OS019805 | Pennsylvania |
Profile Details
| NPI number | 1285097592 |
|---|---|
| LBN Legal business name | Russell, David Thomas |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2016 |
| Last updated | Aug 23rd, 2019 - about 5 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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