Salem, Omar S

Salem, Omar S is an individual health care provider with primary practice located at 4848 Holland Sylvania Road 201, Sylvania OH 43560. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Salem, Omar S can be contacted via phone (419) 885-1230.

Contact Information

Primary practice address
4848 Holland Sylvania Road 201 Sylvania OH 43560
Fax: (419) 882-6027
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 35-05-0179 Ohio
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 35050179 Ohio
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 35050179 Ohio

Profile Details

NPI number 1952300550
LBN Legal business name Salem, Omar S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Mar 28th, 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 1952300550 NPPES
Ohio Other 070001227 RAILROAD MEDICARE
Ohio MEDICAID 0595842 RAILROAD MEDICARE

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