Williams, Russell Warren
Williams, Russell Warren is an individual health care provider with primary practice located at 422 Garrisonville Rd Ste 111, Stafford VA 22554-1573. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Williams, Russell Warren can be contacted via phone (540) 657-9441.Contact Information
Primary practice address
422 Garrisonville Rd Ste 111
Stafford VA 22554-1573
Phone: (540) 657-9441
Fax: (540) 657-4366
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101030314 | Virginia |
Profile Details
| NPI number | 1144226879 |
|---|---|
| LBN Legal business name | Williams, Russell Warren |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Sep 12th, 2011 - about 13 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 | 1144226879 | NPPES |
| Virginia | MEDICAID | 010042941 |
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