Assaf, Wasim Michael
Assaf, Wasim Michael is an sole proprietor health care provider with primary practice located at 6050 Babcock St Se Ste 2 , Palm Bay FL 32909-4203. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Assaf, Wasim Michael can be contacted via phone (321) 725-9946.Contact Information
Primary practice address
6050 Babcock St Se Ste 2
Palm Bay FL 32909-4203
Phone: (321) 725-9946
Fax: (321) 951-7389
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN15094 | Florida |
Profile Details
| NPI number | 1518048065 |
|---|---|
| LBN Legal business name | Assaf, Wasim Michael |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Apr 15th, 2024 - about 2 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 | 1518048065 | NPPES |
| Florida | MEDICAID | 070478400 |
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