Moussan, Oussama

Moussan, Oussama is an individual health care provider with primary practice located at 3209 S 23Rd St Ste. #340, Tacoma WA 98405-1602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Moussan, Oussama can be contacted via phone (253) 272-8148.

Contact Information

Primary practice address
3209 S 23Rd St Ste. #340 Tacoma WA 98405-1602
Fax: (253) 404-0506
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD00033213 Washington

Profile Details

NPI number 1467426171
LBN Legal business name Moussan, Oussama
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Apr 7th, 2014 - about 11 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 1467426171 NPPES
Washington Other MD00033213 WA LICENSE
Washington MEDICAID 8179855 WA LICENSE

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