Habbeb-Ullah, Quanzetta B
Habbeb-Ullah, Quanzetta B is an individual health care provider with primary practice located at 2011 Eisenhower Dr , Savannah GA 31406-3905. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Habbeb-Ullah, Quanzetta B can be contacted via phone (912) 356-2157.Contact Information
Primary practice address
2011 Eisenhower Dr
Savannah GA 31406-3905
Phone: (912) 356-2157
Fax: (912) 691-6807
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | RN076884 | Georgia |
Profile Details
| NPI number | 1306809686 |
|---|---|
| LBN Legal business name | Habbeb-Ullah, Quanzetta B |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2006 |
| Last updated | Oct 12th, 2016 - about 9 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 | 1306809686 | NPPES |
| Georgia | MEDICAID | 000816219B |
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