Ballouk, Wesam

Ballouk, Wesam is an individual health care provider with primary practice located at 2225 Union Ave Ste 100, Memphis TN 38104-4316. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ballouk, Wesam can be contacted via phone (901) 726-1161.

Contact Information

Primary practice address
2225 Union Ave Ste 100 Memphis TN 38104-4316
Phone: (901) 726-1161
Fax: (901) 726-0161
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD0037027 Tennessee

Profile Details

NPI number 1841291762
LBN Legal business name Ballouk, Wesam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841291762 NPPES
Tennessee MEDICAID 3326941

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