Al-Ghussain, Emad

Al-Ghussain, Emad is an individual health care provider with primary practice located at 7301 Rogers Ave , Fort Smith AR 72903-4100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Al-Ghussain, Emad can be contacted via phone (479) 314-5175.

Contact Information

Primary practice address
7301 Rogers Ave Fort Smith AR 72903-4100
Phone: (479) 314-5175
Fax: (479) 314-5185
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X E0339 Arkansas

Profile Details

NPI number 1538187190
LBN Legal business name Al-Ghussain, Emad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jun 5th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538187190 NPPES
Arkansas Other 5J653 AR BCBS
Arkansas MEDICAID 100061920D AR BCBS
Arkansas MEDICAID 127528001 AR BCBS

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