Wahby, Samir R

Wahby, Samir R is an sole proprietor health care provider with primary practice located at 2700 1St Ave S Suite 100, Fort Dodge IA 50501-4306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Wahby, Samir R can be contacted via phone (515) 955-6767.

Contact Information

Primary practice address
2700 1St Ave S Suite 100 Fort Dodge IA 50501-4306
Phone: (515) 955-6767
Fax: (515) 576-8581
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 23372 Iowa

Profile Details

NPI number 1659327872
LBN Legal business name Wahby, Samir R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2006
Last updated Oct 31st, 2007 - about 18 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 1659327872 NPPES
Iowa Other 20058 WELLMARK
Iowa Other 4848 WELLMARK
Iowa MEDICAID 0200584 WELLMARK

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