Al-Shihabi, Laith Mutasem

Al-Shihabi, Laith Mutasem is an individual health care provider with primary practice located at N15W28300 Golf Rd , Pewaukee WI 53072. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Al-Shihabi, Laith Mutasem can be contacted via phone (262) 303-5055.

Contact Information

Primary practice address
N15W28300 Golf Rd Pewaukee WI 53072
Phone: (262) 303-5055
Fax: (262) 303-5006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 125-058682 Illinois
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 65234 Wisconsin

Profile Details

NPI number 1861713265
LBN Legal business name Al-Shihabi, Laith Mutasem
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2010
Last updated Oct 28th, 2019 - about 7 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 1861713265 NPPES
Wisconsin MEDICAID 1861713265

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