Ward, David Russell
Ward, David Russell is an sole proprietor health care provider with primary practice located at 5005 Prospect Ave Ne Ste C , Albuquerque NM 87110-4283. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Ward, David Russell can be contacted via phone (505) 295-1770.Contact Information
Primary practice address
5005 Prospect Ave Ne Ste C
Albuquerque NM 87110-4283
Phone: (505) 295-1770
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 80349 | Texas |
Profile Details
| NPI number | 1336111418 |
|---|---|
| LBN Legal business name | Ward, David Russell |
| Credentials | AU.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Oct 17th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336111418 | NPPES |
| Texas | MEDICAID | 216695101 | |
| Texas | Other | TXB1171146 |
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