Kholoussy, Abdelmohsen
Kholoussy, Abdelmohsen is an sole proprietor health care provider with primary practice located at 14 Cottage Hl E Pob 1184, Pottsville PA 17901-1931. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kholoussy, Abdelmohsen can be contacted via phone (570) 622-5885.Contact Information
Primary practice address
14 Cottage Hl E Pob 1184
Pottsville PA 17901-1931
Phone: (570) 622-5885
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD-37201-L | Pennsylvania |
Profile Details
| NPI number | 1558348508 |
|---|---|
| LBN Legal business name | Kholoussy, Abdelmohsen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Aug 10th, 2007 - about 17 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 | 1558348508 | NPPES |
| Pennsylvania | MEDICAID | 826664 |
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