Ayoubi, Moutassem B.

Ayoubi, Moutassem B. is an individual health care provider with primary practice located at 310 35Th St Se Suite 21, Charleston WV 25304-1352. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ayoubi, Moutassem B. can be contacted via phone (304) 925-6970.

Contact Information

Primary practice address
310 35Th St Se Suite 21 Charleston WV 25304-1352
Phone: (304) 925-6970
Fax: (304) 925-5161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 09974 West Virginia

Profile Details

NPI number 1922160860
LBN Legal business name Ayoubi, Moutassem B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Jul 8th, 2007 - about 19 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 1922160860 NPPES
West Virginia MEDICAID 0112057000

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