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
Phone: (612) 805-9505
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790839629 | NPPES |
| Minnesota | MEDICAID | 268487000 |
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