Aboussie, Kenneth Edward
Aboussie, Kenneth Edward is an sole proprietor health care provider with primary practice located at 2300 Harrison St , Wichita Falls TX 76308-1342. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Aboussie, Kenneth Edward can be contacted via phone (940) 723-6677.Contact Information
Primary practice address
2300 Harrison St
Wichita Falls TX 76308-1342
Phone: (940) 723-6677
Fax: (940) 723-6670
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 9648 | Texas |
Profile Details
| NPI number | 1235353699 |
|---|---|
| LBN Legal business name | Aboussie, Kenneth Edward |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2007 |
| Last updated | Jul 6th, 2024 - about 4 months 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 | 1235353699 | NPPES |
| Texas | MEDICAID | 007983201 |
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