Johnston, Russell G

Johnston, Russell G is an individual health care provider with primary practice located at Prince William Hospital 8700 Sudley Road, Manassas VA 20011-4418. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Johnston, Russell G can be contacted via phone (703) 379-8000.

Contact Information

Primary practice address
Prince William Hospital 8700 Sudley Road Manassas VA 20011-4418
Phone: (703) 379-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101028362 Virginia

Profile Details

NPI number 1790845493
LBN Legal business name Johnston, Russell G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Jul 8th, 2007 - about 19 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 1790845493 NPPES
Virginia MEDICAID 5707200

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