Ward, Russell Gordon

Ward, Russell Gordon is an individual health care provider with primary practice located at 5901 E 7Th St Bldg 150 Rm V33 Prosthetics, Long Beach CA 90822-5201. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Ward, Russell Gordon can be contacted via phone (562) 826-8000.

Contact Information

Primary practice address
5901 E 7Th St Bldg 150 Rm V33 Prosthetics Long Beach CA 90822-5201
Phone: (562) 826-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X

Profile Details

NPI number 1851403745
LBN Legal business name Ward, Russell Gordon
Credentials C.P.O.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 17 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 1851403745 NPPES
Other CPO02063 AMERICAN BOARD O&P

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