Khabbaz, Sany T

Khabbaz, Sany T is an individual health care provider with primary practice located at 1000 Mineral Point Ave , Janesville WI 53548. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Khabbaz, Sany T can be contacted via phone (608) 756-6000.

Contact Information

Primary practice address
1000 Mineral Point Ave Janesville WI 53548
Phone: (608) 756-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036-083867 Illinois
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 47412 Wisconsin

Profile Details

NPI number 1538227848
LBN Legal business name Khabbaz, Sany T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Oct 7th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538227848 NPPES
Wisconsin MEDICAID 34593500
Wisconsin MEDICAID 34593500
Wisconsin MEDICAID 036083867 2

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