Individual
RUSSELL ENSIGN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2600 SIXTH ST SW, MEDICAL EDUCATION, CANTON, OH 44710-1702
(330) 363-4899
(330) 580-5513
Mailing address
2600 SIXTH ST SW, MEDICAL EDUCATION, CANTON, OH 44710-1702
(330) 363-4899
(330) 580-5513
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34.010108
OH
390200000X
Student in an Organized Health Care Education/Training Program
58-002355
OH
Other
Enumeration date
07/23/2007
Last updated
10/14/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us