Ali, Mariam Issac
Ali, Mariam Issac is an sole proprietor health care provider with primary practice located at 6064 Southpointe Dr , Burlington KY 41005-8528. She recently has only one registered license in Transportation Services / Taxi, which is considered as her primary health care specialty. Ali, Mariam Issac can be contacted via phone (619) 822-5621.Contact Information
Primary practice address
6064 Southpointe Dr
Burlington KY 41005-8528
Phone: (619) 822-5621
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Taxi | 344600000X | 4720 | Kentucky |
Profile Details
| NPI number | 1164088282 |
|---|---|
| LBN Legal business name | Ali, Mariam Issac |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 14th, 2019 |
| Last updated | May 14th, 2019 - about 7 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 | 1164088282 | NPPES |
| Kentucky | MEDICAID | 7100592580 |
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