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
Phone: (256) 739-9898
Fax: (256) 739-9556
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780648212 | NPPES |
| Alabama | MEDICAID | 009961805 | |
| Alabama | Other | 51521246 | |
| Alabama | MEDICAID | 000046855 | |
| Alabama | Other | 51514426 | |
| Alabama | Other | 51550456 |
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