Ackall, Ibraheem George
Ackall, Ibraheem George is an individual health care provider with primary practice located at 2150 Highway 54 S , Alamogordo NM 88310-7330. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ackall, Ibraheem George can be contacted via phone (575) 443-8133.Contact Information
Primary practice address
2150 Highway 54 S
Alamogordo NM 88310-7330
Phone: (575) 443-8133
Fax: (575) 443-8055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DD2887 | New Mexico |
Profile Details
| NPI number | 1598867368 |
|---|---|
| LBN Legal business name | Ackall, Ibraheem George |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | Nov 12th, 2009 - about 17 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 | 1598867368 | NPPES |
| New Mexico | MEDICAID | 60602775 |
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