Aziz, Balsam

Aziz, Balsam is an sole proprietor health care provider with primary practice located at 2141 15 Mile Rd , Sterling Heights MI 48310-4807. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Aziz, Balsam can be contacted via phone (586) 795-5504.

Contact Information

Primary practice address
2141 15 Mile Rd Sterling Heights MI 48310-4807
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 15277 Michigan

Profile Details

NPI number 1336203256
LBN Legal business name Aziz, Balsam
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2006
Last updated Jul 21st, 2016 - about 9 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 1336203256 NPPES
Michigan Other 383223640 ALL OTHER INSURANCES
Michigan MEDICAID 4927253 ALL OTHER INSURANCES

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