Ali, Omar Ahmad

Ali, Omar Ahmad is an sole proprietor health care provider with primary practice located at 1120 N Melvin St , Gibson City IL 60936-1477. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ali, Omar Ahmad can be contacted via phone (217) 784-4251.

Contact Information

Primary practice address
1120 N Melvin St Gibson City IL 60936-1477
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X TBD Illinois

Profile Details

NPI number 1649757386
LBN Legal business name Ali, Omar Ahmad
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2018
Last updated Jul 25th, 2018 - about 7 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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