Bashi, Iklas Jarjis

Bashi, Iklas Jarjis is an individual health care provider with primary practice located at 62 W 7 Mile Rd , Detroit MI 48203-1967. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Bashi, Iklas Jarjis can be contacted via phone (313) 893-6172.

Contact Information

Primary practice address
62 W 7 Mile Rd Detroit MI 48203-1967
Phone: (313) 893-6172
Fax: (313) 893-0064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6401008658 Michigan

Profile Details

NPI number 1154478576
LBN Legal business name Bashi, Iklas Jarjis
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Jul 9th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154478576 NPPES
Michigan MEDICAID 3434247

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