Ghazinouri, Roshanak
Ghazinouri, Roshanak is an individual health care provider with primary practice located at 1037 Beacon St Suite 2A, Brookline MA 02446-5656. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Ghazinouri, Roshanak can be contacted via phone (617) 738-7210.Contact Information
Primary practice address
1037 Beacon St Suite 2A
Brookline MA 02446-5656
Phone: (617) 738-7210
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 17415 | Massachusetts |
Profile Details
| NPI number | 1225233778 |
|---|---|
| LBN Legal business name | Ghazinouri, Roshanak |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1225233778 | NPPES |
| Massachusetts | MEDICAID | 0275506 |
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