Salahou, Mariam

Salahou, Mariam is an individual health care provider with primary practice located at 16 Old Ashton Rd Suite 1, Phila PA 19152-1661. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Salahou, Mariam can be contacted via phone (215) 613-5069.

Contact Information

Primary practice address
16 Old Ashton Rd Suite 1 Phila PA 19152-1661
Phone: (215) 613-5069
Fax: (215) 613-6809
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP008704 Pennsylvania

Profile Details

NPI number 1780698613
LBN Legal business name Salahou, Mariam
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated May 16th, 2015 - about 9 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 1780698613 NPPES
Pennsylvania Other 30013868 KEYSTONE MERCY HEALTH PLN
Pennsylvania Other 11585583 KEYSTONE MERCY HEALTH PLN
Pennsylvania Other 1487927 KEYSTONE MERCY HEALTH PLN
Pennsylvania Other 17574 KEYSTONE MERCY HEALTH PLN
Pennsylvania Other 2848495000 KEYSTONE MERCY HEALTH PLN

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