Miari, Assem

Miari, Assem is an individual health care provider with primary practice located at 8201 E Riverside Blvd , Rockford IL 61114-2300. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Miari, Assem can be contacted via phone (815) 971-7000.

Contact Information

Primary practice address
8201 E Riverside Blvd Rockford IL 61114-2300
Phone: (815) 971-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085007422 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA12716 Texas

Profile Details

NPI number 1396207346
LBN Legal business name Miari, Assem
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2019
Last updated Oct 30th, 2019 - about 5 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 1396207346 NPPES
Texas Other PA12716 TMB
Texas Other 085007422 TMB

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