Ayesha, Unknown
Ayesha, Unknown is an individual health care provider with primary practice located at 368 W Washington St , East Peoria IL 61611-2036. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Ayesha, Unknown can be contacted via phone (309) 694-4444.Contact Information
Primary practice address
368 W Washington St
East Peoria IL 61611-2036
Phone: (309) 694-4444
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 019.034291 | Illinois |
Profile Details
| NPI number | 1225722895 |
|---|---|
| LBN Legal business name | Ayesha, Unknown |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2023 |
| Last updated | Jun 6th, 2023 - about last year |
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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