Bagheri, Marjan
Bagheri, Marjan is an individual health care provider with primary practice located at 12555 Orange Dr Suite 222, Davie FL 33330-4304. She recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as her primary health care specialty. Bagheri, Marjan can be contacted via phone (954) 862-1707.Contact Information
Primary practice address
12555 Orange Dr Suite 222
Davie FL 33330-4304
Phone: (954) 862-1707
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X |
Profile Details
| NPI number | 1770887580 |
|---|---|
| LBN Legal business name | Bagheri, Marjan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2011 |
| Last updated | Jan 8th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770887580 | NPPES |
| Florida | MEDICAID | 001885400 |
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