Elghawanmeh, Omar
Elghawanmeh, Omar is an individual health care provider with primary practice located at 617 23Rd St Ste 400 , Ashland KY 41101-2880. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Elghawanmeh, Omar can be contacted via phone (606) 408-2820.Contact Information
Primary practice address
617 23Rd St Ste 400
Ashland KY 41101-2880
Phone: (606) 408-2820
Fax: (606) 326-0235
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 35.137125 | Ohio |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | BP1-0039174 | Texas |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 48490 | Kentucky |
Profile Details
| NPI number | 1386873073 |
|---|---|
| LBN Legal business name | Elghawanmeh, Omar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2009 |
| Last updated | May 20th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386873073 | NPPES |
| Kentucky | MEDICAID | 7100423270 | |
| Kentucky | MEDICAID | 0173050 |
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