Ward, David Russell

Ward, David Russell is an sole proprietor health care provider with primary practice located at 5005 Prospect Ave Ne Ste C , Albuquerque NM 87110-4283. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Ward, David Russell can be contacted via phone (505) 295-1770.

Contact Information

Primary practice address
5005 Prospect Ave Ne Ste C Albuquerque NM 87110-4283
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 80349 Texas

Profile Details

NPI number 1336111418
LBN Legal business name Ward, David Russell
Credentials AU.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2006
Last updated Oct 17th, 2022 - about 2 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 1336111418 NPPES
Texas MEDICAID 216695101
Texas Other TXB1171146

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