Lane, Aisha

Lane, Aisha is an sole proprietor health care provider with primary practice located at 7900 W 75Th St , Bridgeview IL 60455-1237. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Lane, Aisha can be contacted via phone (708) 612-3956.

Contact Information

Primary practice address
7900 W 75Th St Bridgeview IL 60455-1237
Phone: (708) 612-3956
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 238000384 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 238000384 Illinois

Profile Details

NPI number 1528498466
LBN Legal business name Lane, Aisha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2013
Last updated Apr 22nd, 2019 - about 5 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 1528498466 NPPES
Illinois Other 246ZC0007X TAXONOMY #

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