Vangelder, Russell

Vangelder, Russell is an individual health care provider with primary practice located at 908 Jefferson St , Seattle WA 98104-2433. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Vangelder, Russell can be contacted via phone (206) 744-4142.

Contact Information

Primary practice address
908 Jefferson St Seattle WA 98104-2433
Phone: (206) 744-4142
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD00049129 Washington

Profile Details

NPI number 1730180985
LBN Legal business name Vangelder, Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jan 2nd, 2013 - about 11 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 1730180985 NPPES
Washington MEDICAID 1730180985
Washington Other 0232087

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