Pourhamidi, Jaleh
Pourhamidi, Jaleh is an individual health care provider with primary practice located at 4 Sunset Way Building C, Henderson NV 89014. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Pourhamidi, Jaleh can be contacted via phone (702) 968-1652.Contact Information
Primary practice address
4 Sunset Way Building C
Henderson NV 89014
Phone: (702) 968-1652
Fax: (702) 990-4435
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | LL002703 | Nevada |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | S3-88C | Nevada |
Profile Details
| NPI number | 1629133921 |
|---|---|
| LBN Legal business name | Pourhamidi, Jaleh |
| Credentials | DMD, MDSC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Aug 23rd, 2012 - 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 | 1629133921 | NPPES |
| Nevada | MEDICAID | 100506335 |
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