Russell, Jamie Ellen

Russell, Jamie Ellen is an individual health care provider with primary practice located at 26 Queen St Ste 13 , Worcester MA 01610-2478. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Russell, Jamie Ellen can be contacted via phone (508) 963-7300.

Contact Information

Primary practice address
26 Queen St Ste 13 Worcester MA 01610-2478
Phone: (508) 963-7300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 13270 Massachusetts

Profile Details

NPI number 1346704889
LBN Legal business name Russell, Jamie Ellen
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2019
Last updated Jan 29th, 2019 - about 7 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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