Ibrahim, M A Zurita Hernando

Ibrahim, M A Zurita Hernando is an individual health care provider with primary practice located at 240 Washington Street , Ravenswood WV 26164. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Ibrahim, M A Zurita Hernando can be contacted via phone (304) 273-8071.

Contact Information

Primary practice address
240 Washington Street Ravenswood WV 26164
Phone: (304) 273-8071
Fax: (304) 273-8015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 001137 West Virginia

Profile Details

NPI number 1427110717
LBN Legal business name Ibrahim, M A Zurita Hernando
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Dec 17th, 2007 - about 18 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 1427110717 NPPES
West Virginia MEDICAID 0157410000
West Virginia MEDICAID 0240071000

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