Bateh, Mousa R

Bateh, Mousa R is an individual health care provider with primary practice located at 3550 University Blvd S Ste 204, Jacksonville FL 32216-4246. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Bateh, Mousa R can be contacted via phone (904) 384-2240.

Contact Information

Primary practice address
3550 University Blvd S Ste 204 Jacksonville FL 32216-4246
Phone: (904) 384-2240
Fax: (904) 448-0030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X PO3191 Florida

Profile Details

NPI number 1184623555
LBN Legal business name Bateh, Mousa R
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Dec 3rd, 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 1184623555 NPPES
Florida MEDICAID 340528100

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