Jallad, Mohammed

Jallad, Mohammed is an individual health care provider with primary practice located at 4235 Secor Rd , Toledo OH 43623-4231. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Jallad, Mohammed can be contacted via phone (419) 479-5560.

Contact Information

Primary practice address
4235 Secor Rd Toledo OH 43623-4231
Phone: (419) 479-5560
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Emergency 364SE0003X NP09579 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN-303351 Ohio

Profile Details

NPI number 1255528725
LBN Legal business name Jallad, Mohammed
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2007
Last updated Jul 21st, 2022 - 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 1255528725 NPPES
Ohio MEDICAID 0051000
Ohio MEDICAID 1255528725

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