Russin, Linda M

Russin, Linda M is an individual health care provider with primary practice located at 865 W Lancaster Ave , Bryn Mawr PA 19010-3336. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Russin, Linda M can be contacted via phone (215) 663-5910.

Contact Information

Primary practice address
865 W Lancaster Ave Bryn Mawr PA 19010-3336
Fax: (215) 663-2451
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X OS009907L Pennsylvania

Profile Details

NPI number 1194713479
LBN Legal business name Russin, Linda M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Feb 27th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194713479 NPPES
Other 1194713479 NPI
MEDICAID 001745391003 NPI

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