Mubarez, Fares N
Mubarez, Fares N is an individual health care provider with primary practice located at 11800 E 12 Mile Rd , Warren MI 48093-3472. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as his primary health care specialty. Mubarez, Fares N can be contacted via phone (586) 573-5000.Contact Information
Primary practice address
11800 E 12 Mile Rd
Warren MI 48093-3472
Phone: (586) 573-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 4704298299 | Michigan |
Profile Details
| NPI number | 1831753466 |
|---|---|
| LBN Legal business name | Mubarez, Fares N |
| Credentials | AGACNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 29th, 2019 |
| Last updated | Sep 18th, 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 | 1831753466 | NPPES |
| Michigan | Other | 4704298299 | MICHIGAN STATE BOARD OF NURSING |
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