Mohamed, Omer
Mohamed, Omer is an sole proprietor health care provider with primary practice located at 1606 W Peoria Ave Apt 103 , Phoenix AZ 85029-5702. He recently has only one registered license in Transportation Services / Non-emergency Medical Transport (VAN), which is considered as his primary health care specialty. Mohamed, Omer can be contacted via phone (520) 251-7391.Contact Information
Primary practice address
1606 W Peoria Ave Apt 103
Phoenix AZ 85029-5702
Phone: (520) 251-7391
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X | D04629645 | Arizona |
Profile Details
| NPI number | 1740827765 |
|---|---|
| LBN Legal business name | Mohamed, Omer |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 9th, 2019 |
| Last updated | Dec 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740827765 | NPPES |
| Arizona | Other | D04629645 | MERCY CARE PLAN |
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