Khan, Mujtaba

Khan, Mujtaba is an individual health care provider with primary practice located at 1931 Main St , Green Bay WI 54302-3920. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Khan, Mujtaba can be contacted via phone (920) 499-2770.

Contact Information

Primary practice address
1931 Main St Green Bay WI 54302-3920
Phone: (920) 499-2770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 12012588A Indiana
Dental Providers / Dentist 122300000X 1001454-15 Wisconsin

Profile Details

NPI number 1093260366
LBN Legal business name Khan, Mujtaba
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2016
Last updated Jan 26th, 2017 - 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.

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