Alavi-Dunn, Bahareh Nicole

Alavi-Dunn, Bahareh Nicole is an individual health care provider with primary practice located at 1821 S Webster Ave , Green Bay WI 54301-2253. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Alavi-Dunn, Bahareh Nicole can be contacted via phone (920) 436-1359.

Contact Information

Primary practice address
1821 S Webster Ave Green Bay WI 54301-2253
Phone: (920) 436-1359
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 036159076 Illinois
Allopathic & Osteopathic Physicians / Urology 208800000X 81284-20 Wisconsin

Profile Details

NPI number 1447783501
LBN Legal business name Alavi-Dunn, Bahareh Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2017
Last updated Dec 26th, 2023 - about 3 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 1447783501 NPPES
Wisconsin MEDICAID 100245554

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