Russell, Mary A

Russell, Mary A is an individual health care provider with primary practice located at 1 Medical Center Drive , Morgantown WV 26506. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Russell, Mary A can be contacted via phone (304) 598-4032.

Contact Information

Primary practice address
1 Medical Center Drive Morgantown WV 26506
Phone: (304) 598-4032
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X 20120468 West Virginia

Profile Details

NPI number 1891088217
LBN Legal business name Russell, Mary A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2011
Last updated May 18th, 2011 - 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.

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