Ghanee, Nadereh
Ghanee, Nadereh is an individual health care provider with primary practice located at 1538 11Th Ave , Longview WA 98632-4123. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Ghanee, Nadereh can be contacted via phone (360) 636-3400.Contact Information
Primary practice address
1538 11Th Ave
Longview WA 98632-4123
Phone: (360) 636-3400
Fax: (360) 578-1277
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 8358 | Washington |
Profile Details
| NPI number | 1487609988 |
|---|---|
| LBN Legal business name | Ghanee, Nadereh |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 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 | 1487609988 | NPPES |
| Washington | MEDICAID | 5031422 |
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