Russell, Terry N.
Russell, Terry N. is an individual health care provider with primary practice located at 300 West Ave , Brockport NY 14420-1118. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Russell, Terry N. can be contacted via phone (585) 637-3905.Contact Information
Primary practice address
300 West Ave
Brockport NY 14420-1118
Phone: (585) 637-3905
Fax: (585) 637-4990
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dental Hygienist | 124Q00000X | 014942-1 | New York |
Profile Details
NPI number | 1346479896 |
---|---|
LBN Legal business name | Russell, Terry N. |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 6th, 2009 |
Last updated | Jul 6th, 2009 - about 16 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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