Hanes, Russell K.

Hanes, Russell K. is an individual health care provider with primary practice located at 1900 Paseo San Luis , Sierra Vista AZ 85635-4614. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hanes, Russell K. can be contacted via phone (520) 458-2415.

Contact Information

Primary practice address
1900 Paseo San Luis Sierra Vista AZ 85635-4614
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3507 Arizona

Profile Details

NPI number 1336100569
LBN Legal business name Hanes, Russell K.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Jul 8th, 2007 - about 17 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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