Russell, Donald L.
Russell, Donald L. is an individual health care provider with primary practice located at 400 Medical Park Dr , Dover OH 44622-3207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Russell, Donald L. can be contacted via phone (330) 454-8076.Contact Information
Primary practice address
400 Medical Park Dr
Dover OH 44622-3207
Phone: (330) 454-8076
Fax: (330) 454-3927
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35-04-6531 | Ohio |
Profile Details
| NPI number | 1902885742 |
|---|---|
| LBN Legal business name | Russell, Donald L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Feb 10th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902885742 | NPPES |
| Ohio | MEDICAID | 0556483 |
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