Russell, Charles E

Russell, Charles E is an sole proprietor health care provider with primary practice located at 2611 Wayne Ave , Dayton OH 45420-1833. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Russell, Charles E can be contacted via phone (937) 256-7801.

Contact Information

Primary practice address
2611 Wayne Ave Dayton OH 45420-1833
Phone: (937) 256-7801
Fax: (937) 641-8517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35050063 Ohio
Allopathic & Osteopathic Physicians / General Practice 208D00000X 35050063 Ohio

Profile Details

NPI number 1245220912
LBN Legal business name Russell, Charles E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2005
Last updated Feb 9th, 2026 - about 8 months 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 1245220912 NPPES
Ohio Other 000000546225 ANTHEM
Ohio MEDICAID 0573348 ANTHEM

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