Mousa, Emad Y
Mousa, Emad Y is an sole proprietor health care provider with primary practice located at 77 Hospital Dr Ste 200 , Logan WV 25601-3451. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics is his primary health care specialty. Mousa, Emad Y can be contacted via phone (304) 896-5200.Contact Information
Primary practice address
77 Hospital Dr Ste 200
Logan WV 25601-3451
Phone: (304) 896-5200
Fax: (304) 896-5300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 24508 | West Virginia |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 35092078 | Ohio |
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 24508 | West Virginia |
Profile Details
| NPI number | 1003070194 |
|---|---|
| LBN Legal business name | Mousa, Emad Y |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2008 |
| Last updated | Mar 17th, 2018 - about 6 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 | 1003070194 | NPPES |
| West Virginia | Other | 1003070194 | WV MEDICARE |
| West Virginia | MEDICAID | 1003070194 | WV MEDICARE |
| West Virginia | Other | 11865318 | WV MEDICARE |
| West Virginia | MEDICAID | 2873029 | WV MEDICARE |
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