Mansour, Waleed

Mansour, Waleed is an individual health care provider with primary practice located at 1397 S Canfield Niles Rd Unit 1, Austintown OH 44515-4084. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mansour, Waleed can be contacted via phone (330) 953-0129.

Contact Information

Primary practice address
1397 S Canfield Niles Rd Unit 1 Austintown OH 44515-4084
Phone: (330) 953-0129
Fax: (330) 953-0650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35078230M Ohio

Profile Details

NPI number 1740266352
LBN Legal business name Mansour, Waleed
Credentials M.DL
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Nov 30th, 2016 - about 9 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 1740266352 NPPES
Ohio Other 181396874-0001 PENNSYLVANIA MEDICAID
Ohio MEDICAID 2254180 PENNSYLVANIA MEDICAID
Ohio Other P00164262 PENNSYLVANIA MEDICAID

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