Hassan, Alfatah Muhudin

Hassan, Alfatah Muhudin is an sole proprietor health care provider with primary practice located at 5515 S Disch Ave Apt 2 , Cudahy WI 53110-2630. He recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Intermediate, which is considered as his primary health care specialty. Hassan, Alfatah Muhudin can be contacted via phone (414) 334-3341.

Contact Information

Primary practice address
5515 S Disch Ave Apt 2 Cudahy WI 53110-2630
Phone: (414) 334-3341
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Intermediate 146M00000X H2500139810006 Wisconsin

Profile Details

NPI number 1164173605
LBN Legal business name Hassan, Alfatah Muhudin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2022
Last updated Aug 31st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164173605 NPPES
Wisconsin Other 87-4381953 NON EMERGENCY MEDICARE

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