Alzarkani, Alaa M

Alzarkani, Alaa M is an sole proprietor health care provider with primary practice located at 311 W Armstrong Ave , Peoria IL 61604-4103. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Alzarkani, Alaa M can be contacted via phone (425) 345-2691.

Contact Information

Primary practice address
311 W Armstrong Ave Peoria IL 61604-4103
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1215691126
LBN Legal business name Alzarkani, Alaa M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2021
Last updated Oct 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215691126 NPPES
Other 83-1023775 NON-MEDICAL TRANSPORTATION

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