Bachour, Fouad

Bachour, Fouad is an individual health care provider with primary practice located at 701 Park Ave , Minneapolis MN 55415-1623. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Bachour, Fouad can be contacted via phone (612) 873-4105.

Contact Information

Primary practice address
701 Park Ave Minneapolis MN 55415-1623
Fax: (612) 904-4644
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 44903 Minnesota

Profile Details

NPI number 1912950189
LBN Legal business name Bachour, Fouad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Oct 10th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912950189 NPPES
Minnesota MEDICAID 074782300

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