Schenck, Emilie Russo
Schenck, Emilie Russo is an sole proprietor health care provider with primary practice located at 215 St. Ann Dr. Suite 5, Mandeville LA 70471. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Schenck, Emilie Russo can be contacted via phone (985) 626-4807.Contact Information
Primary practice address
215 St. Ann Dr. Suite 5
Mandeville LA 70471
Phone: (985) 626-4807
Fax: (985) 626-3198
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5660 | Louisiana |
Profile Details
| NPI number | 1821206558 |
|---|---|
| LBN Legal business name | Schenck, Emilie Russo |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2007 |
| Last updated | Feb 15th, 2012 - about 14 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 | 1821206558 | NPPES |
| Mississippi | MEDICAID | 09433564 | |
| Mississippi | MEDICAID | 1856606 |
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