Mohamed, Mustafa S
Mohamed, Mustafa S is an sole proprietor health care provider with primary practice located at 5775 Wayzata Blvd Ste 700 , St Louis Park MN 55416-1233. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Mohamed, Mustafa S can be contacted via phone (651) 307-3934.Contact Information
Primary practice address
5775 Wayzata Blvd Ste 700
St Louis Park MN 55416-1233
Phone: (651) 307-3934
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X |
Profile Details
| NPI number | 1225800774 |
|---|---|
| LBN Legal business name | Mohamed, Mustafa S |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2023 |
| Last updated | Oct 27th, 2023 - 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.
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