Russin, Stanley Joseph
Russin, Stanley Joseph is an individual health care provider with primary practice located at 100 N Academy Ave , Danville PA 17822-4973. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Russin, Stanley Joseph can be contacted via phone (570) 214-9585.Contact Information
Primary practice address
100 N Academy Ave
Danville PA 17822-4973
Phone: (570) 214-9585
Fax: (570) 214-9519
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD031740E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD031740E | Pennsylvania |
Profile Details
| NPI number | 1003880360 |
|---|---|
| LBN Legal business name | Russin, Stanley Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Jul 31st, 2020 - about 4 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 | 1003880360 | NPPES |
| Pennsylvania | MEDICAID | 0011826880005 | |
| Pennsylvania | MEDICAID | 02654502 |
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