Russell, Jessica Ellen Levonn

Russell, Jessica Ellen Levonn is an sole proprietor health care provider with primary practice located at 626 2Nd Ave S , Okanogan WA 98840. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Russell, Jessica Ellen Levonn can be contacted via phone (509) 422-5700.

Contact Information

Primary practice address
626 2Nd Ave S Okanogan WA 98840
Phone: (509) 422-5700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH00007140 Washington

Profile Details

NPI number 1093206021
LBN Legal business name Russell, Jessica Ellen Levonn
Credentials DH
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2018
Last updated May 25th, 2018 - about 7 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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