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Contact Information

EISA J ABU MUNSHAR
4753 VALLEY VIEW BLVD NW
ROANOKE, VA24012
 Phone: 614-282-0979
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for EISA J ABU MUNSHAR · (Male)

NPI Number 1770019622
Status Active
Credentials
Entity Individual
Enumeration date 05/11/2017
Last updated 06/18/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0401416557
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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