Abdulrazzak, Asma

Abdulrazzak, Asma is an sole proprietor health care provider with primary practice located at 1509 Washington St Ste D, Midland MI 48640-5612. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Abdulrazzak, Asma can be contacted via phone (989) 837-9740.

Contact Information

Primary practice address
1509 Washington St Ste D Midland MI 48640-5612
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2901019158 Michigan

Profile Details

NPI number 1629141619
LBN Legal business name Abdulrazzak, Asma
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2006
Last updated Mar 7th, 2023 - about last year

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 1629141619 NPPES
Michigan Other D191580 BCBS PIN
Michigan Other 19158 BCBS PIN
Michigan Other 2901019158 BCBS PIN
Michigan MEDICAID 4795083 BCBS PIN

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