Kassarjian, Ara

Kassarjian, Ara is an sole proprietor health care provider with primary practice located at 250 Northwest Blvd Suite #202, Coeur D Alene ID 83814-2974. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kassarjian, Ara can be contacted via phone (866) 400-4295.

Contact Information

Primary practice address
250 Northwest Blvd Suite #202 Coeur D Alene ID 83814-2974
Phone: (866) 400-4295
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 158749 Massachusetts

Profile Details

NPI number 1669462107
LBN Legal business name Kassarjian, Ara
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669462107 NPPES
Massachusetts MEDICAID 0169200

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