Abdulmoniem, Abdulmoniem

Abdulmoniem, Abdulmoniem is an sole proprietor health care provider with primary practice located at W3985 County Road Nn , Elkhorn WI 53121-4337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Abdulmoniem, Abdulmoniem can be contacted via phone (262) 741-2000.

Contact Information

Primary practice address
W3985 County Road Nn Elkhorn WI 53121-4337
Phone: (262) 741-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101266353 Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 75558 Wisconsin

Profile Details

NPI number 1194175042
LBN Legal business name Abdulmoniem, Abdulmoniem
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2016
Last updated Aug 1st, 2022 - about 2 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 1194175042 NPPES
Wisconsin MEDICAID 100170895

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