Al-Hosainat, Nidal
Al-Hosainat, Nidal is an individual health care provider with primary practice located at 550 S Landmark Ave , Bloomington IN 47403-3239. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Al-Hosainat, Nidal can be contacted via phone (812) 676-4660.Contact Information
Primary practice address
550 S Landmark Ave
Bloomington IN 47403-3239
Phone: (812) 676-4660
Fax: (812) 676-4501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01088556A | Indiana |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 000000 | New York |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | BP10063896 | Texas |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 01088556A | Indiana |
Profile Details
| NPI number | 1700362670 |
|---|---|
| LBN Legal business name | Al-Hosainat, Nidal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2018 |
| Last updated | Sep 28th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700362670 | NPPES |
| Indiana | Other | 090540869 | MEDICARE PTAN |
| Indiana | MEDICAID | 300075795 | MEDICARE PTAN |
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