Hassan, Johara Adam
Hassan, Johara Adam is an individual health care provider with primary practice located at 801 5Th St , Sioux City IA 51101-1326. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Hassan, Johara Adam can be contacted via phone (712) 279-2010.Contact Information
Primary practice address
801 5Th St
Sioux City IA 51101-1326
Phone: (712) 279-2010
Fax: (712) 279-2034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2020039485 | Missouri |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036109970 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD-44833 | Iowa |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036109970 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2020039485 | Missouri |
Profile Details
| NPI number | 1568417301 |
|---|---|
| LBN Legal business name | Hassan, Johara Adam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1568417301 | NPPES |
| Illinois | Other | 036109970 | PROFESSIONAL LICENSE |
| Illinois | MEDICAID | 036109970 | PROFESSIONAL LICENSE |
| Illinois | Other | 336072134 | PROFESSIONAL LICENSE |
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