Al-Basha, Amira

Al-Basha, Amira is an individual health care provider with primary practice located at 1639 N Alpine Rd Ste 380 , Rockford IL 61107-1440. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Al-Basha, Amira can be contacted via phone (815) 229-9333.

Contact Information

Primary practice address
1639 N Alpine Rd Ste 380 Rockford IL 61107-1440
Phone: (815) 229-9333
Fax: (815) 229-7288
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085006967 Illinois

Profile Details

NPI number 1871063776
LBN Legal business name Al-Basha, Amira
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2018
Last updated Jul 22nd, 2020 - about 5 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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