Ayoub, Wadah Jason

Ayoub, Wadah Jason is an individual health care provider with primary practice located at 9200 W Wisconsin Ave , Milwaukee WI 53226-3522. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Ayoub, Wadah Jason can be contacted via phone (414) 805-3100.

Contact Information

Primary practice address
9200 W Wisconsin Ave Milwaukee WI 53226-3522
Phone: (414) 805-3100
Fax: (262) 532-9584
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125071816 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036155544 Illinois
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036155544 Illinois
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 81087 Wisconsin

Profile Details

NPI number 1578058418
LBN Legal business name Ayoub, Wadah Jason
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2018
Last updated Jun 23rd, 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 1578058418 NPPES
Wisconsin MEDICAID 1578058418

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