Ansari, Asim Mohammad

Ansari, Asim Mohammad is an sole proprietor health care provider with primary practice located at 2S733 Crimson King Ln , Glen Ellyn IL 60137-7229. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ansari, Asim Mohammad can be contacted via phone (630) 254-9114.

Contact Information

Primary practice address
2S733 Crimson King Ln Glen Ellyn IL 60137-7229
Phone: (630) 254-9114
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019028486 Illinois

Profile Details

NPI number 1881904670
LBN Legal business name Ansari, Asim Mohammad
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2010
Last updated Dec 10th, 2015 - about 10 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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