Madhoun, Saba
Madhoun, Saba is an individual health care provider with primary practice located at 15150 Fort St , Southgate MI 48195-1302. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Madhoun, Saba can be contacted via phone (734) 282-4800.Contact Information
Primary practice address
15150 Fort St
Southgate MI 48195-1302
Phone: (734) 282-4800
Fax: (734) 282-9302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601008284 | Michigan |
Profile Details
| NPI number | 1871958744 |
|---|---|
| LBN Legal business name | Madhoun, Saba |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2015 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871958744 | NPPES |
| Michigan | Other | 38-2546610 | BLUE CROSS BLUE SHIELD |
| Michigan | MEDICAID | 38-2546610 | BLUE CROSS BLUE SHIELD |
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