Shane T Russell is a Specialist in Dayton, Ohio. Shane T Russell practices all healthcare services and medical treatments related to Specialist. The NPI Number for Shane T Russell is 1174558803. The last update date is 2021-12-03.
Shane T Russell's current location address is 6780 Loop Rd, Dayton, Ohio. You can contact this provider via phone number 9374346344 and fax number 9374349107. The mailing address for Shane T Russell is 6780 Loop Rd, Dayton, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane T Russell |
|---|---|
| Address | 6780 Loop Rd, Dayton, Ohio |
| Phone Number | 9374346344 |
| Fax Number | 9374349107 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1174558803 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2021-12-03 |
Provider Mailing Address Detail
| Address | 6780 Loop Rd |
|---|---|
| City | Dayton |
| State | Ohio (OH) |
| Post Code | 454592161 |
| Phone Number | 9374346344 |
| Fax Number | 9374349107 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 35086518 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Shane T Russell?
The Shane T Russell has been issued the NPI (National Provider Identifier) 1174558803 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Shane T Russell is located?
The Shane T Russell is situated at the following address: 6780 Loop Rd, Dayton, OH, 454592161.
What is Shane T Russell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shane T Russell is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174558803 to Shane T Russell?
The Centers for Medicare & Medicaid Services originally issued the 1174558803 to Shane T Russell on 2006-07-11.
When was the information pertaining to Shane T Russell most recently updated or revised?
The details related to Shane T Russell, including its address, specialty, and other relevant information, were last updated or revised on 2021-12-03.
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