Ebrahim, Michelle
Ebrahim, Michelle is an individual health care provider with primary practice located at 3300 S Oates St Precision Vision, Pc, Dothan AL 36301-5694. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Ebrahim, Michelle can be contacted via phone (334) 702-0508.Contact Information
Primary practice address
3300 S Oates St Precision Vision, Pc
Dothan AL 36301-5694
Phone: (334) 702-0508
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | R-129 TA-427 | Alabama |
Profile Details
| NPI number | 1376645226 |
|---|---|
| LBN Legal business name | Ebrahim, Michelle |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376645226 | NPPES |
| Alabama | Other | 51096728 | BLUE CROSS BLUE SHIELD |
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