Shah, Payal K
Shah, Payal K is an sole proprietor health care provider with primary practice located at 330 N Jefferson St Apt 1906 , Chicago IL 60661-1322. She recently has 3 registered licenses in different health care specialties including Dental Providers / Dental Public Health, Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Shah, Payal K can be contacted via phone (224) 805-7671.Contact Information
Primary practice address
330 N Jefferson St Apt 1906
Chicago IL 60661-1322
Phone: (224) 805-7671
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dental Public Health | 1223D0001X | 019.032634 | Illinois |
Dental Providers / General Practice | 1223G0001X | 019.032634 | Illinois |
Dental Providers / Dentist | 122300000X | 019.032634 | Illinois |
Profile Details
NPI number | 1235756735 |
---|---|
LBN Legal business name | Shah, Payal K |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 30th, 2020 |
Last updated | Jun 30th, 2020 - about 4 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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