Al Badr, Wisam Hassan Ali

Al Badr, Wisam Hassan Ali is an sole proprietor health care provider with primary practice located at 3635 Grand Blvd , Saint Louis MO 63110-2539. She recently has only one registered license in Hospitals / Critical Access, which is considered as her primary health care specialty. Al Badr, Wisam Hassan Ali can be contacted via phone (314) 577-8765.

Contact Information

Primary practice address
3635 Grand Blvd Saint Louis MO 63110-2539
Fax: (314) 771-0784
Website:

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 2007008384 Missouri

Profile Details

NPI number 1710177480
LBN Legal business name Al Badr, Wisam Hassan Ali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 30th, 2007
Last updated Jul 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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