Stephens, John Russell
Stephens, John Russell is an sole proprietor health care provider with primary practice located at 2601 E Elms Rd , Killeen TX 76542-2804. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Stephens, John Russell can be contacted via phone (254) 699-4127.Contact Information
Primary practice address
2601 E Elms Rd
Killeen TX 76542-2804
Phone: (254) 699-4127
Fax: (254) 699-4130
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 12910 | Texas |
Profile Details
NPI number | 1962420182 |
---|---|
LBN Legal business name | Stephens, John Russell |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 17th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962420182 | NPPES |
Texas | Other | D12910 | BC/BS |
Texas | Other | 689845 | BC/BS |
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