Al-Jarrah, Mohamad
Al-Jarrah, Mohamad is an sole proprietor health care provider with primary practice located at 15830 Fort St Suite 1, Southgate MI 48195-1367. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Al-Jarrah, Mohamad can be contacted via phone (734) 282-5444.Contact Information
Primary practice address
15830 Fort St Suite 1
Southgate MI 48195-1367
Phone: (734) 282-5444
Fax: (734) 282-4899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MA057471 | Michigan |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MA057471 | Michigan |
Profile Details
| NPI number | 1154382919 |
|---|---|
| LBN Legal business name | Al-Jarrah, Mohamad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Apr 4th, 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 | 1154382919 | NPPES |
| Michigan | MEDICAID | 3503774 | |
| Michigan | MEDICAID | 4627560 |
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