Mahjoub, Mazen A.

Mahjoub, Mazen A. is an individual health care provider with primary practice located at 9375 E Market St Suite #3, Warren OH 44484-5515. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mahjoub, Mazen A. can be contacted via phone (330) 392-0100.

Contact Information

Primary practice address
9375 E Market St Suite #3 Warren OH 44484-5515
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35-07-2671M Ohio

Profile Details

NPI number 1679512081
LBN Legal business name Mahjoub, Mazen A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jul 9th, 2007 - about 18 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 1679512081 NPPES
Ohio MEDICAID 2145851

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