Abdel Fattah, Nazer

Abdel Fattah, Nazer is an individual health care provider with primary practice located at 15101 Southfield Rd Suite 101, Allen Park MI 48101-2697. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Abdel Fattah, Nazer can be contacted via phone (313) 383-3333.

Contact Information

Primary practice address
15101 Southfield Rd Suite 101 Allen Park MI 48101-2697
Fax: (313) 383-5555
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101012667 Michigan

Profile Details

NPI number 1518923382
LBN Legal business name Abdel Fattah, Nazer
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Aug 30th, 2007 - about 17 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 1518923382 NPPES
Michigan Other 02-0585039 TAX ID
Michigan MEDICAID 4404850 TAX ID

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