Seneca, Russell P.

Seneca, Russell P. is an individual health care provider with primary practice located at 4001 Fair Ridge Dr Suite 304, Fairfax VA 22033-2917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Seneca, Russell P. can be contacted via phone (703) 359-8640.

Contact Information

Primary practice address
4001 Fair Ridge Dr Suite 304 Fairfax VA 22033-2917
Phone: (703) 359-8640
Fax: (703) 591-6105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101019015 Virginia

Profile Details

NPI number 1003802208
LBN Legal business name Seneca, Russell P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Jul 8th, 2007 - about 17 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 1003802208 NPPES
Virginia MEDICAID 7379056

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