Ibrahim, Elmoataz
Ibrahim, Elmoataz is an sole proprietor health care provider with primary practice located at 15945 19 Mile Rd , Clinton Township MI 48038-1147. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Hospitals / Critical Access, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Ibrahim, Elmoataz can be contacted via phone (586) 263-0610.Contact Information
Primary practice address
15945 19 Mile Rd
Clinton Township MI 48038-1147
Phone: (586) 263-0610
Fax: (586) 263-0834
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301094678 | Michigan |
| Hospitals / Critical Access | 282NC0060X | ||
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 57-014393 | Ohio |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 4301094678 | Michigan |
Profile Details
| NPI number | 1285883371 |
|---|---|
| LBN Legal business name | Ibrahim, Elmoataz |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2008 |
| Last updated | Nov 23rd, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285883371 | NPPES |
| Michigan | Other | 82-4754278 | E.I. NEUROLOGY ASSOCIATES PLLC |
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