Wheatley, Russell H
Wheatley, Russell H is an individual health care provider with primary practice located at 3099 Aloma Ave , Winter Park FL 32792-3702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wheatley, Russell H can be contacted via phone (407) 677-1140.Contact Information
Primary practice address
3099 Aloma Ave
Winter Park FL 32792-3702
Phone: (407) 677-1140
Fax: (407) 677-5841
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS5336 | Florida |
Profile Details
| NPI number | 1366490948 |
|---|---|
| LBN Legal business name | Wheatley, Russell H |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Nov 6th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366490948 | NPPES |
| Florida | MEDICAID | 27136200 | |
| Florida | Other | 80173 |
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