Khan, Ayeshaw Jabeen

Khan, Ayeshaw Jabeen is an sole proprietor health care provider with primary practice located at 407 N 4Th St , Buckeye AZ 85326-2442. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Khan, Ayeshaw Jabeen can be contacted via phone (623) 327-3206.

Contact Information

Primary practice address
407 N 4Th St Buckeye AZ 85326-2442
Fax: (623) 327-0563
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D009227 Arizona

Profile Details

NPI number 1619357175
LBN Legal business name Khan, Ayeshaw Jabeen
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2015
Last updated Apr 13th, 2016 - about 10 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 1619357175 NPPES
Arizona MEDICAID 044247

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