Russell, Jennifer Ann
Russell, Jennifer Ann is an sole proprietor health care provider with primary practice located at 13752 Lakeridge Dr , Fishers IN 46037-7608. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Russell, Jennifer Ann can be contacted via phone (317) 576-9400.Contact Information
Primary practice address
13752 Lakeridge Dr
Fishers IN 46037-7608
Phone: (317) 576-9400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 12010066A | Indiana |
Profile Details
| NPI number | 1265552160 |
|---|---|
| LBN Legal business name | Russell, Jennifer Ann |
| Credentials | D.D.S., M.S.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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