Valentine, Russell S
Valentine, Russell S is an individual health care provider with primary practice located at 220 S 38Th St , Tacoma WA 98418-7847. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Valentine, Russell S can be contacted via phone (253) 475-4631.Contact Information
Primary practice address
220 S 38Th St
Tacoma WA 98418-7847
Phone: (253) 475-4631
Fax: (253) 475-2635
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 7290 | Washington |
Profile Details
| NPI number | 1962462507 |
|---|---|
| LBN Legal business name | Valentine, Russell S |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Nov 24th, 2015 - about 10 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 | 1962462507 | NPPES |
| Washington | Other | 846654 | UNITED CONCORDIA |
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