Ayoubi, Moutassem B.
Ayoubi, Moutassem B. is an individual health care provider with primary practice located at 310 35Th St Se Suite 21, Charleston WV 25304-1352. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ayoubi, Moutassem B. can be contacted via phone (304) 925-6970.Contact Information
Primary practice address
310 35Th St Se Suite 21
Charleston WV 25304-1352
Phone: (304) 925-6970
Fax: (304) 925-5161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 09974 | West Virginia |
Profile Details
| NPI number | 1922160860 |
|---|---|
| LBN Legal business name | Ayoubi, Moutassem B. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2006 |
| Last updated | Jul 8th, 2007 - 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 | 1922160860 | NPPES |
| West Virginia | MEDICAID | 0112057000 |
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