Al Homsi, Nadine T
Al Homsi, Nadine T is an individual health care provider with primary practice located at 350 S Landmark Ave , Bloomington IN 47403-5001. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Al Homsi, Nadine T can be contacted via phone (812) 332-9874.Contact Information
Primary practice address
350 S Landmark Ave
Bloomington IN 47403-5001
Phone: (812) 332-9874
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01089158A | Indiana |
Profile Details
| NPI number | 1205446325 |
|---|---|
| LBN Legal business name | Al Homsi, Nadine T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2020 |
| Last updated | Aug 15th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205446325 | NPPES |
| Indiana | Other | 090540875 | MEDICARE PTAN |
| Indiana | MEDICAID | 300041035 | MEDICARE PTAN |
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