Omari, Sadoun I
Omari, Sadoun I is an individual health care provider with primary practice located at 12635 W. Bluemound Road , Brookfield WI 53005-8004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Omari, Sadoun I can be contacted via phone (414) 258-0606.Contact Information
Primary practice address
12635 W. Bluemound Road
Brookfield WI 53005-8004
Phone: (414) 258-0606
Fax: (414) 258-1953
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 34155 | Wisconsin |
Profile Details
| NPI number | 1013902121 |
|---|---|
| LBN Legal business name | Omari, Sadoun I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Mar 24th, 2016 - about 8 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 | 1013902121 | NPPES |
| Wisconsin | MEDICAID | 32093100 |
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