Jalali, Hossein A

Jalali, Hossein A is an individual health care provider with primary practice located at 991 9Th Ave Nw , New Brighton MN 55112-2665. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Jalali, Hossein A can be contacted via phone (651) 633-1311.

Contact Information

Primary practice address
991 9Th Ave Nw New Brighton MN 55112-2665
Fax: (651) 633-4339
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 10256 Minnesota

Profile Details

NPI number 1417932773
LBN Legal business name Jalali, Hossein A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Oct 28th, 2014 - about 10 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 1417932773 NPPES
Minnesota Other 0009762 MEDICAL ASSISTANCE

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