Al Zoubi, Moamen Mohammad

Al Zoubi, Moamen Mohammad is an individual health care provider with primary practice located at 2400 N Rockton Ave , Rockford IL 61103-3655. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Al Zoubi, Moamen Mohammad can be contacted via phone (815) 971-5000.

Contact Information

Primary practice address
2400 N Rockton Ave Rockford IL 61103-3655
Fax: (815) 971-9537
Website:

Profile Details

NPI number 1770902587
LBN Legal business name Al Zoubi, Moamen Mohammad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2014
Last updated Mar 15th, 2024 - about 8 months 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 1770902587 NPPES
Illinois Other 036148372 STATE LICENSE

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