Guthrie, Robert Russell

Guthrie, Robert Russell is an individual health care provider with primary practice located at 111 Main St , Wadsworth OH 44281-1433. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Guthrie, Robert Russell can be contacted via phone (330) 336-5788.

Contact Information

Primary practice address
111 Main St Wadsworth OH 44281-1433
Fax: (330) 334-1425
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 30-01-6242 Ohio

Profile Details

NPI number 1235346651
LBN Legal business name Guthrie, Robert Russell
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235346651 NPPES
Ohio MEDICAID 0407018

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