Ajizian, Vanessa Kristen
Ajizian, Vanessa Kristen is an individual health care provider with primary practice located at 240 Broad St , Kernersville NC 27284-2930. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ajizian, Vanessa Kristen can be contacted via phone (336) 993-8333.Contact Information
Primary practice address
240 Broad St
Kernersville NC 27284-2930
Phone: (336) 993-8333
Fax: (336) 993-5144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2006-00408 | North Carolina |
Profile Details
| NPI number | 1629002910 |
|---|---|
| LBN Legal business name | Ajizian, Vanessa Kristen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Dec 23rd, 2021 - about 3 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 | 1629002910 | NPPES |
| North Carolina | MEDICAID | 5904913 |
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