Yacoub, Mansour A

Yacoub, Mansour A is an individual health care provider with primary practice located at 1500 E Sherman Blvd , Muskegon MI 49444-1849. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Yacoub, Mansour A can be contacted via phone (231) 672-3883.

Contact Information

Primary practice address
1500 E Sherman Blvd Muskegon MI 49444-1849
Phone: (231) 672-3883
Fax: (231) 672-3973
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301072604 Michigan
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 4301072604 Michigan

Profile Details

NPI number 1689600827
LBN Legal business name Yacoub, Mansour A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Apr 23rd, 2022 - about 2 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 1689600827 NPPES
Michigan MEDICAID 4354534

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