Bou-Assaly, Wessam Boutros

Bou-Assaly, Wessam Boutros is an sole proprietor health care provider with primary practice located at 2155 Fuller Rd Radiology Department/ Va Health Center, Ann Arbor MI 48105. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Bou-Assaly, Wessam Boutros can be contacted via phone (734) 761-7959.

Contact Information

Primary practice address
2155 Fuller Rd Radiology Department/ Va Health Center Ann Arbor MI 48105
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 4301089243 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301089243 Michigan
Other Service Providers / Specialist 174400000X 4301089243 Michigan

Profile Details

NPI number 1851581540
LBN Legal business name Bou-Assaly, Wessam Boutros
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2007
Last updated Feb 17th, 2022 - about 2 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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