Dial, Russell

Dial, Russell is an individual health care provider with primary practice located at 1611 W Main St , El Centro CA 92243-2212. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Dial, Russell can be contacted via phone (760) 337-1144.

Contact Information

Primary practice address
1611 W Main St El Centro CA 92243-2212
Phone: (760) 337-1144
Fax: (760) 337-8259
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT32388 California

Profile Details

NPI number 1295798676
LBN Legal business name Dial, Russell
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2006
Last updated Dec 13th, 2021 - about 5 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 1295798676 NPPES
California Other WPT32388C MEDICARE PTAN

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