Ibrahim, Fahim K
Ibrahim, Fahim K is an sole proprietor health care provider with primary practice located at 4190 24Th Ave Suite 204, Fort Gratiot MI 48059-3882. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Ibrahim, Fahim K can be contacted via phone (810) 989-7702.Contact Information
Primary practice address
4190 24Th Ave Suite 204
Fort Gratiot MI 48059-3882
Phone: (810) 989-7702
Fax: (810) 989-7703
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | FI067033 | Michigan |
Profile Details
| NPI number | 1376611251 |
|---|---|
| LBN Legal business name | Ibrahim, Fahim K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Oct 20th, 2011 - about 15 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 | 1376611251 | NPPES |
| Michigan | MEDICAID | 3350530 |
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