Vanderwilde, Russell S

Vanderwilde, Russell S is an individual health care provider with primary practice located at 601 W 5Th Ave Suite 400, Spokane WA 99204-2715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Vanderwilde, Russell S can be contacted via phone (509) 344-2663.

Contact Information

Primary practice address
601 W 5Th Ave Suite 400 Spokane WA 99204-2715
Phone: (509) 344-2663
Fax: (509) 624-9179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD00030742 Washington

Profile Details

NPI number 1871562967
LBN Legal business name Vanderwilde, Russell S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Mar 11th, 2008 - about 16 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 1871562967 NPPES
Washington MEDICAID 1083047
Washington Other 200016187
Washington Other K6484
Washington Other 3780VA
Washington Other 8919653
Washington Other 3283
Washington Other 000010002357
Washington Other 42091
Washington MEDICAID 003297000
Washington Other 379109600

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