Brewster, Russell Scott
Brewster, Russell Scott is an sole proprietor health care provider with primary practice located at 1211 Park Street , Nacogdoches TX 75961-1211. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Brewster, Russell Scott can be contacted via phone (936) 569-3958.Contact Information
Primary practice address
1211 Park Street
Nacogdoches TX 75961-1211
Phone: (936) 569-3958
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 14158 | Texas |
Profile Details
NPI number | 1295894376 |
---|---|
LBN Legal business name | Brewster, Russell Scott |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 6th, 2006 |
Last updated | Jul 18th, 2016 - about 8 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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