Hajihossainlou, Behnam
Hajihossainlou, Behnam is an sole proprietor health care provider with primary practice located at 3003 University Dr , Marinette WI 54143-4110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Hajihossainlou, Behnam can be contacted via phone (715) 735-4200.Contact Information
Primary practice address
3003 University Dr
Marinette WI 54143-4110
Phone: (715) 735-4200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 65378 | Wisconsin |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 65378 | Wisconsin |
Profile Details
| NPI number | 1407295496 |
|---|---|
| LBN Legal business name | Hajihossainlou, Behnam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2013 |
| Last updated | Nov 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407295496 | NPPES |
| Wisconsin | MEDICAID | 100056108 |
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