Sidani, Jalal K
Sidani, Jalal K is an sole proprietor health care provider with primary practice located at 2563 Huntcliff Ln , Panama City FL 32405-4902. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Sidani, Jalal K can be contacted via phone (850) 769-1055.Contact Information
Primary practice address
2563 Huntcliff Ln
Panama City FL 32405-4902
Phone: (850) 769-1055
Fax: (850) 769-1434
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PO2326 | Florida |
Profile Details
| NPI number | 1902893985 |
|---|---|
| LBN Legal business name | Sidani, Jalal K |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2005 |
| Last updated | May 1st, 2012 - about 14 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 | 1902893985 | NPPES |
| Florida | MEDICAID | 390159900 |
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