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Contact Information

AMENA F AL KHAFAJI
1158 FORT ST
LINCOLN PARK, MI48146-1840
 Phone: 313-925-3325
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Behavior Technician

106S00000X
 

Technician, Other

247200000X 75 Slide Preparation Facility
Indicates primary specialty

NPI Profile & details for AMENA F AL KHAFAJI · (Female)

NPI Number 1457850380
Status Active
Credentials
Entity Individual
Enumeration date 02/06/2018
Last updated 04/25/2026 - About 1 months ago
Sole proprietor 1 No
Identifiers
  • MI License # 5601011749
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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