Albasha, Imad
Albasha, Imad is an sole proprietor health care provider with primary practice located at 1639 N Alpine Rd , Rockford IL 61107-1449. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Albasha, Imad can be contacted via phone (815) 229-7227.Contact Information
Primary practice address
1639 N Alpine Rd
Rockford IL 61107-1449
Phone: (815) 229-7227
Fax: (815) 229-7288
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 036079335 | Illinois |
Profile Details
| NPI number | 1467584516 |
|---|---|
| LBN Legal business name | Albasha, Imad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2007 |
| Last updated | May 13th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467584516 | NPPES |
| Illinois | MEDICAID | 036079335 |
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