Wilson, Russell Chapman
Wilson, Russell Chapman is an individual health care provider with primary practice located at 3949 Browning Pl , Raleigh NC 27609-6504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wilson, Russell Chapman can be contacted via phone (919) 787-8221.Contact Information
Primary practice address
3949 Browning Pl
Raleigh NC 27609-6504
Phone: (919) 787-8221
Fax: (919) 789-4461
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | North Carolina |
Profile Details
| NPI number | 1124068432 |
|---|---|
| LBN Legal business name | Wilson, Russell Chapman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1124068432 | NPPES |
| North Carolina | Other | D9130 | MEDCOST |
| North Carolina | Other | D9131 | MEDCOST |
| North Carolina | Other | 2500018 | MEDCOST |
| North Carolina | Other | 6297819 | MEDCOST |
| North Carolina | Other | 138KF | MEDCOST |
| North Carolina | Other | P00263266 | MEDCOST |
| North Carolina | Other | D8898 | MEDCOST |
| North Carolina | Other | P00258193 | MEDCOST |
| North Carolina | Other | 7146484 | MEDCOST |
| North Carolina | MEDICAID | 89138KF | MEDCOST |
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