Soueidan, Ali
Soueidan, Ali is an individual health care provider with primary practice located at 640 S Trumbull St , Bay City MI 48708-7656. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Soueidan, Ali can be contacted via phone (989) 893-7460.Contact Information
Primary practice address
640 S Trumbull St
Bay City MI 48708-7656
Phone: (989) 893-7460
Fax: (989) 895-5813
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 24151 | West Virginia |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 24151 | West Virginia |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
NPI number | 1053517540 |
---|---|
LBN Legal business name | Soueidan, Ali |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 22nd, 2007 |
Last updated | Dec 3rd, 2012 - about 13 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 | 1053517540 | NPPES |
West Virginia | MEDICAID | 3810018693 | |
West Virginia | Other | P00858195 |
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