Russell, Mary A
Russell, Mary A is an individual health care provider with primary practice located at 1 Medical Center Drive , Morgantown WV 26506. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Russell, Mary A can be contacted via phone (304) 598-4032.Contact Information
Primary practice address
1 Medical Center Drive
Morgantown WV 26506
Phone: (304) 598-4032
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Health Educator | 174H00000X | 20120468 | West Virginia |
Profile Details
| NPI number | 1891088217 |
|---|---|
| LBN Legal business name | Russell, Mary A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2011 |
| Last updated | May 18th, 2011 - about 15 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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