Yacoub, Wael
Yacoub, Wael is an individual health care provider with primary practice located at 450 Pershing Blvd , Whitehall PA 18052-6452. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Yacoub, Wael can be contacted via phone (610) 434-6678.Contact Information
Primary practice address
450 Pershing Blvd
Whitehall PA 18052-6452
Phone: (610) 434-6678
Fax: (610) 434-6671
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD418291 | Pennsylvania |
Profile Details
| NPI number | 1770546533 |
|---|---|
| LBN Legal business name | Yacoub, Wael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1770546533 | NPPES |
| Pennsylvania | MEDICAID | 0018794480004 |
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