Assi, Nizar A
Assi, Nizar A is an individual health care provider with primary practice located at 10012 Kennerly Rd Suite 301, Saint Louis MO 63128-2197. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Assi, Nizar A can be contacted via phone (314) 729-0088.Contact Information
Primary practice address
10012 Kennerly Rd Suite 301
Saint Louis MO 63128-2197
Phone: (314) 729-0088
Fax: (314) 729-3963
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | R5N90 | Missouri |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036076345 | Illinois |
Profile Details
| NPI number | 1194772954 |
|---|---|
| LBN Legal business name | Assi, Nizar A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Jul 24th, 2016 - about 8 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 | 1194772954 | NPPES |
| Illinois | MEDICAID | 036076345 | |
| Illinois | Other | 1017484 | |
| Illinois | Other | 20848 | |
| Illinois | Other | 2411584004 | |
| Illinois | Other | 738934 | |
| Illinois | Other | 137842 | |
| Illinois | Other | 47082 | |
| Illinois | Other | 951660 | |
| Illinois | MEDICAID | 203035324 | |
| Illinois | Other | 14443 | |
| Illinois | Other | 19567 | |
| Illinois | Other | 21238 | |
| Illinois | Other | 2500139 | |
| Illinois | Other | 04232002 | |
| Illinois | Other | 2411584 | |
| Illinois | Other | D88680 |
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