Christensen, Russell John
Christensen, Russell John is an individual health care provider with primary practice located at 7315 Ne 141St St , Bothell WA 98011-5339. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Christensen, Russell John can be contacted via phone (425) 823-2104.Contact Information
Primary practice address
7315 Ne 141St St
Bothell WA 98011-5339
Phone: (425) 823-2104
Fax: (425) 821-9798
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DE00003362 | Washington |
Profile Details
| NPI number | 1669471686 |
|---|---|
| LBN Legal business name | Christensen, Russell John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1669471686 | NPPES |
| Washington | MEDICAID | 5044805 |
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