Khoury, Ghassan A
Khoury, Ghassan A is an sole proprietor health care provider with primary practice located at 12 Colleen Dr , Lakeville MA 02347-1663. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Khoury, Ghassan A can be contacted via phone (508) 947-0111.Contact Information
Primary practice address
12 Colleen Dr
Lakeville MA 02347-1663
Phone: (508) 947-0111
Fax: (508) 947-9815
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 20411 | Massachusetts |
Profile Details
| NPI number | 1043395809 |
|---|---|
| LBN Legal business name | Khoury, Ghassan A |
| Credentials | DMD,MPH,PC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Jul 9th, 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 | 1043395809 | NPPES |
| Massachusetts | MEDICAID | 0202690 | |
| Massachusetts | MEDICAID | 02329784 | |
| Massachusetts | MEDICAID | 30303081 |
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