Bouhasin, Andre P

Bouhasin, Andre P is an individual health care provider with primary practice located at 513 W Pine St , Farmington MO 63640-1439. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Bouhasin, Andre P can be contacted via phone (573) 701-0090.

Contact Information

Primary practice address
513 W Pine St Farmington MO 63640-1439
Phone: (573) 701-0090
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 2004002409 Missouri
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 2004002409 Missouri

Profile Details

NPI number 1508808635
LBN Legal business name Bouhasin, Andre P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Nov 6th, 2023 - about last year

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 1508808635 NPPES
Missouri Other 947071631 MERCY HEALTH
Missouri Other 426403 MERCY HEALTH
Missouri MEDICAID 206138802 MERCY HEALTH
Missouri Other 124884 MERCY HEALTH

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