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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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