Fattouh, Maher

Fattouh, Maher is an individual health care provider with primary practice located at 4131 W Loomis Rd Ste 300 Advanced Pain Management, Greenfield WI 53221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Fattouh, Maher can be contacted via phone (414) 325-7246.

Contact Information

Primary practice address
4131 W Loomis Rd Ste 300 Advanced Pain Management Greenfield WI 53221
Phone: (414) 325-7246
Fax: (414) 325-3700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 01083699A Indiana
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 45177 Wisconsin

Profile Details

NPI number 1457309965
LBN Legal business name Fattouh, Maher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jan 28th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457309965 NPPES
Wisconsin MEDICAID 34413500

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