Russo, Angela
Russo, Angela is an individual health care provider with primary practice located at 3118 S Lafountain St , Kokomo IN 46902-3710. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Russo, Angela can be contacted via phone (765) 864-4160.Contact Information
Primary practice address
3118 S Lafountain St
Kokomo IN 46902-3710
Phone: (765) 864-4160
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 13003464A | Indiana |
Profile Details
| NPI number | 1467078485 |
|---|---|
| LBN Legal business name | Russo, Angela |
| Credentials | LDH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2020 |
| Last updated | Jun 25th, 2020 - about 6 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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