Sarsour, Yazan Musallem

Sarsour, Yazan Musallem is an individual health care provider with primary practice located at 950 W Wooster St , Bowling Green OH 43402-2603. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Sarsour, Yazan Musallem can be contacted via phone (419) 354-8667.

Contact Information

Primary practice address
950 W Wooster St Bowling Green OH 43402-2603
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 34007644 Ohio
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 34.007644 Ohio

Profile Details

NPI number 1629021324
LBN Legal business name Sarsour, Yazan Musallem
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jan 29th, 2016 - 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 1629021324 NPPES
Ohio MEDICAID 2292004

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