Itani, Abedalrahman H
Itani, Abedalrahman H is an individual health care provider with primary practice located at 1001 E Primrose St , Springfield MO 65807-5155. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Itani, Abedalrahman H can be contacted via phone (417) 875-3000.Contact Information
Primary practice address
1001 E Primrose St
Springfield MO 65807-5155
Phone: (417) 875-3000
Fax: (417) 875-3922
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 2004029639 | Missouri |
Profile Details
| NPI number | 1457435901 |
|---|---|
| LBN Legal business name | Itani, Abedalrahman H |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Jul 3rd, 2012 - about 13 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 | 1457435901 | NPPES |
| Missouri | MEDICAID | 207460502 |
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