Russell, Vincent Robert

Russell, Vincent Robert is an individual health care provider with primary practice located at 4755 Ogletown Stanton Rd , Newark DE 19718-2200. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Russell, Vincent Robert can be contacted via phone (302) 733-1848.

Contact Information

Primary practice address
4755 Ogletown Stanton Rd Newark DE 19718-2200
Phone: (302) 733-1848
Fax: (302) 733-1633
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C5-0001166 Delaware
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X C5-0001166 Delaware
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X C5-0001166 Delaware

Profile Details

NPI number 1811416597
LBN Legal business name Russell, Vincent Robert
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2017
Last updated Sep 14th, 2017 - about 9 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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