Mastouri, Nasim
Mastouri, Nasim is an individual health care provider with primary practice located at 1005 Bellefontaine Ave Suite 230, Lima OH 45804-2851. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Mastouri, Nasim can be contacted via phone (419) 998-8255.Contact Information
Primary practice address
1005 Bellefontaine Ave Suite 230
Lima OH 45804-2851
Phone: (419) 998-8255
Fax: (419) 226-8335
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 35.120131 | Ohio |
Profile Details
NPI number | 1710121132 |
---|---|
LBN Legal business name | Mastouri, Nasim |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 29th, 2009 |
Last updated | Jan 4th, 2021 - about 4 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 | 1710121132 | NPPES |
Ohio | MEDICAID | 0072864 | |
Ohio | MEDICAID | 3810024141 |
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