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
Fax: (985) 626-3198
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821206558 NPPES
Mississippi MEDICAID 09433564
Mississippi MEDICAID 1856606

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