Umbricht, Russell Paul
Umbricht, Russell Paul is an individual health care provider with primary practice located at 404 Lathrop Ave , River Forest IL 60305-1810. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Umbricht, Russell Paul can be contacted via phone (708) 366-8909.Contact Information
Primary practice address
404 Lathrop Ave
River Forest IL 60305-1810
Phone: (708) 366-8909
Fax: (708) 366-8909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 19A13481 | Illinois |
Profile Details
| NPI number | 1922265933 |
|---|---|
| LBN Legal business name | Umbricht, Russell Paul |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2008 |
| Last updated | May 19th, 2008 - 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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