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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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