Bashour, Fadi N.

Bashour, Fadi N. is an individual health care provider with primary practice located at 1299 Industrial Parkway North , Brunswick OH 44212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bashour, Fadi N. can be contacted via phone (330) 225-6468.

Contact Information

Primary practice address
1299 Industrial Parkway North Brunswick OH 44212
Phone: (330) 225-6468
Fax: (330) 225-6534
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 35 065615 Ohio
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 35065615 Ohio

Profile Details

NPI number 1821022708
LBN Legal business name Bashour, Fadi N.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Mar 16th, 2010 - about 15 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 1821022708 NPPES
Ohio MEDICAID 2551831

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