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:
Health care specialties
Specialty | Code | License # | 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 3 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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