Balshe, Ayman A

Balshe, Ayman A is an individual health care provider with primary practice located at 2115 E Viking Ave , Anaheim CA 92806-4655. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Balshe, Ayman A can be contacted via phone (612) 805-9505.

Contact Information

Primary practice address
2115 E Viking Ave Anaheim CA 92806-4655
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X D12354 Minnesota
Dental Providers / Periodontics 1223P0300X 57041 California

Profile Details

NPI number 1790839629
LBN Legal business name Balshe, Ayman A
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Aug 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790839629 NPPES
Minnesota MEDICAID 268487000

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