Bassiouni, Hisham I

Bassiouni, Hisham I is an individual health care provider with primary practice located at 5046 Highway 17 Byp S Ste 103 , Myrtle Beach SC 29588-4503. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bassiouni, Hisham I can be contacted via phone (843) 668-4104.

Contact Information

Primary practice address
5046 Highway 17 Byp S Ste 103 Myrtle Beach SC 29588-4503
Phone: (843) 668-4104
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50001725 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA3422 South Carolina

Profile Details

NPI number 1205883105
LBN Legal business name Bassiouni, Hisham I
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Aug 9th, 2021 - about 4 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 1205883105 NPPES
Other P00385946 RR ERIE

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