Moossun, Mohamed Hassen

Moossun, Mohamed Hassen is an sole proprietor health care provider with primary practice located at 110 Sylvan St , Dearborn MI 48124-1052. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Moossun, Mohamed Hassen can be contacted via phone (313) 730-9813.

Contact Information

Primary practice address
110 Sylvan St Dearborn MI 48124-1052
Phone: (313) 730-9813
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301053468 Michigan
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301053468 Michigan

Profile Details

NPI number 1720100670
LBN Legal business name Moossun, Mohamed Hassen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2007
Last updated Jul 16th, 2007 - about 17 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 1720100670 NPPES
Michigan Other 4301053468 STATE LICENSE
Michigan MEDICAID 1932106 STATE LICENSE

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