Harrison, Russell Leon
Harrison, Russell Leon is an sole proprietor health care provider with primary practice located at 33 E Broadway Ste. 290, Columbia MO 65203-4207. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Harrison, Russell Leon can be contacted via phone (573) 449-0794.Contact Information
Primary practice address
33 E Broadway Ste. 290
Columbia MO 65203-4207
Phone: (573) 449-0794
Fax: (573) 443-7333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 010659 | Missouri |
Profile Details
| NPI number | 1609945674 |
|---|---|
| LBN Legal business name | Harrison, Russell Leon |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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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