Ahmed, Sumrana S
Ahmed, Sumrana S is an individual health care provider with primary practice located at 2680 Belvidere Rd , Waukegan IL 60085-6006. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Ahmed, Sumrana S can be contacted via phone (847) 360-3045.Contact Information
Primary practice address
2680 Belvidere Rd
Waukegan IL 60085-6006
Phone: (847) 360-3045
Fax: (847) 360-0597
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 019-026293 | Illinois |
Profile Details
| NPI number | 1922097294 |
|---|---|
| LBN Legal business name | Ahmed, Sumrana S |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Dec 13th, 2012 - about 12 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 | 1922097294 | NPPES |
| Illinois | MEDICAID | 1005798 |
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