Russian, David A
Russian, David A is an individual health care provider with primary practice located at 12728 19Th Ave. Se Suite 200, Everett WA 98208-6647. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Russian, David A can be contacted via phone (425) 252-1116.Contact Information
Primary practice address
12728 19Th Ave. Se Suite 200
Everett WA 98208-6647
Phone: (425) 252-1116
Fax: (425) 252-1118
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MD00031772 | Washington |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD00031772 | Washington |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | MD00031772 | Washington |
Profile Details
| NPI number | 1376582981 |
|---|---|
| LBN Legal business name | Russian, David A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Apr 16th, 2013 - about 11 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 | 1376582981 | NPPES |
| Washington | Other | 0124070 | LABOR AND INDUSTRY |
| Washington | Other | MD00031772 | LABOR AND INDUSTRY |
| Washington | Other | 290010791 | LABOR AND INDUSTRY |
| Washington | MEDICAID | 8232043 | LABOR AND INDUSTRY |
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