Dababnah, Mousa I

Dababnah, Mousa I is an individual health care provider with primary practice located at 856 Ritter Dr , Beaver WV 25813-9513. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Dababnah, Mousa I can be contacted via phone (304) 255-4845.

Contact Information

Primary practice address
856 Ritter Dr Beaver WV 25813-9513
Phone: (304) 255-4845
Fax: (304) 255-4845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 10670 West Virginia

Profile Details

NPI number 1235170192
LBN Legal business name Dababnah, Mousa I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 8th, 2007 - about 17 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 1235170192 NPPES
West Virginia Other 8750169013 ME
West Virginia Other 0134848 ME
West Virginia MEDICAID 0054813000 ME
West Virginia Other 358504041001 ME
West Virginia Other AS106200 ME

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