Hasan, Omar

Hasan, Omar is an individual health care provider with primary practice located at 2500 N State St # N408 , Jackson MS 39216-4500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Hasan, Omar can be contacted via phone (601) 984-2828.

Contact Information

Primary practice address
2500 N State St # N408 Jackson MS 39216-4500
Phone: (601) 984-2828
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME160204 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X T-5146 Mississippi

Profile Details

NPI number 1124681705
LBN Legal business name Hasan, Omar
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2019
Last updated Jul 10th, 2023 - about 2 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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