Russel H. Etter Md

LBN: Russel H. Etter Md
Russel H. Etter Md is an health care organization with primary practice located at 55 Wyntre Brooke Dr , York PA 17403-4536. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Russel H. Etter Md can be contacted via phone (717) 741-3896, or through Wolfgang, Pamela S via phone (717) 741-3896.

Contact Information

Primary practice address
55 Wyntre Brooke Dr York PA 17403-4536
Phone: (717) 741-3896
Fax: (717) 741-5434
Website:
Map and Directions
Authorized official contact:
Name: Wolfgang, Pamela S
Phone: (717) 741-3896

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X MD008050E Pennsylvania

Profile Details

NPI number 1346386992
LBN Legal business name Russel H. Etter Md
DBA Doing business as
Authorized official Wolfgang, Pamela S
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Nov 5th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346386992 NPPES
Pennsylvania Other 03206000 CAPITAL BLUE CROSS
Pennsylvania Other 172355 CAPITAL BLUE CROSS
Pennsylvania Other 0004626999 CAPITAL BLUE CROSS
Pennsylvania Other 8110175 CAPITAL BLUE CROSS
Pennsylvania Other 000018534 CAPITAL BLUE CROSS
Pennsylvania MEDICAID 0643575 CAPITAL BLUE CROSS

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