Khoury, Wissam E
Khoury, Wissam E is an individual health care provider with primary practice located at 2351 E 22Nd St , Cleveland OH 44115. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Khoury, Wissam E can be contacted via phone (216) 367-9444.Contact Information
Primary practice address
2351 E 22Nd St
Cleveland OH 44115
Phone: (216) 367-9444
Fax: (216) 453-0331
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 36003289 | Ohio |
Profile Details
| NPI number | 1104886910 |
|---|---|
| LBN Legal business name | Khoury, Wissam E |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Mar 22nd, 2016 - about 8 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 | 1104886910 | NPPES |
| Ohio | MEDICAID | 2487116 |
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