Russell, Eric Marc
Russell, Eric Marc is an sole proprietor health care provider with primary practice located at 100 E Lancaster Ave , Wynnewood PA 19096-3450. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Russell, Eric Marc can be contacted via phone (610) 645-2000.Contact Information
Primary practice address
100 E Lancaster Ave
Wynnewood PA 19096-3450
Phone: (610) 645-2000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OT011972 | Pennsylvania |
Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | C2-0010067 | Delaware |
Profile Details
NPI number | 1013243401 |
---|---|
LBN Legal business name | Russell, Eric Marc |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 20th, 2009 |
Last updated | Nov 30th, 2020 - 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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