Nour, Fred Zachary

Nour, Fred Zachary is an individual health care provider with primary practice located at 26691 Plaza Ste 235, Mission Viejo CA 92691-6329. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Nour, Fred Zachary can be contacted via phone (949) 364-9054.

Contact Information

Primary practice address
26691 Plaza Ste 235 Mission Viejo CA 92691-6329
Phone: (949) 364-9054
Fax: (949) 364-6171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X C54401 California

Profile Details

NPI number 1881629350
LBN Legal business name Nour, Fred Zachary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Dec 10th, 2012 - about 12 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 1881629350 NPPES
Illinois MEDICAID 036065960
Illinois Other 000000502077
Illinois Other 2201682
Illinois MEDICAID 200846240

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