El-Koudsi, Mazen

El-Koudsi, Mazen is an sole proprietor health care provider with primary practice located at 12940 W Warren Ave , Dearborn MI 48126-1535. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is his primary health care specialty. El-Koudsi, Mazen can be contacted via phone (313) 945-8210.

Contact Information

Primary practice address
12940 W Warren Ave Dearborn MI 48126-1535
Phone: (313) 945-8210
Fax: (313) 945-0729
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704343520 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 4704343520 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 4704343520 Michigan

Profile Details

NPI number 1245821131
LBN Legal business name El-Koudsi, Mazen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2021
Last updated May 11th, 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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