Russell, Martin David
Russell, Martin David is an sole proprietor health care provider with primary practice located at 561 Norwich Ave , Franklin Furnace OH 45629-8892. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Russell, Martin David can be contacted via phone (740) 354-9983.Contact Information
Primary practice address
561 Norwich Ave
Franklin Furnace OH 45629-8892
Phone: (740) 354-9983
Fax: (740) 354-9978
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 020961900 | Ohio |
Profile Details
| NPI number | 1003928151 |
|---|---|
| LBN Legal business name | Russell, Martin David |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Feb 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003928151 | NPPES |
| Ohio | MEDICAID | 0382983 | |
| Ohio | Other | 311473412-00 |
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