Wadlington, Van Russell

Wadlington, Van Russell is an individual health care provider with primary practice located at 501 Clark St Ne , Cullman AL 35055-1921. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Wadlington, Van Russell can be contacted via phone (256) 739-9898.

Contact Information

Primary practice address
501 Clark St Ne Cullman AL 35055-1921
Fax: (256) 739-9556
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 18187 Alabama
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 18187 Alabama

Profile Details

NPI number 1780648212
LBN Legal business name Wadlington, Van Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Dec 22nd, 2020 - about 6 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 1780648212 NPPES
Alabama MEDICAID 009961805
Alabama Other 51521246
Alabama MEDICAID 000046855
Alabama Other 51514426
Alabama Other 51550456

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