Boutros, Dina Youseff

Boutros, Dina Youseff is an individual health care provider with primary practice located at 3562 Ridge Park Dr Ste. A, Fairlawn OH 44333-9294. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Boutros, Dina Youseff can be contacted via phone (330) 664-0767.

Contact Information

Primary practice address
3562 Ridge Park Dr Ste. A Fairlawn OH 44333-9294
Phone: (330) 664-0767
Fax: (330) 664-0766
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 35073803 Ohio

Profile Details

NPI number 1295732352
LBN Legal business name Boutros, Dina Youseff
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Oct 11th, 2016 - about 9 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 1295732352 NPPES
Ohio MEDICAID 2340087
Ohio Other 2551671
Ohio Other 9338635
Ohio Other 1841239274

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