Ibrahim, Mostafa A

Ibrahim, Mostafa A is an individual health care provider with primary practice located at 8 S Main St , Clintonville WI 54929-1565. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Ibrahim, Mostafa A can be contacted via phone (715) 823-2222.

Contact Information

Primary practice address
8 S Main St Clintonville WI 54929-1565
Fax: (715) 823-6000
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 16281-40 Wisconsin
Pharmacy Service Providers / Pharmacist 183500000X 28RI03410700 New Jersey

Profile Details

NPI number 1467794628
LBN Legal business name Ibrahim, Mostafa A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2013
Last updated Mar 25th, 2013 - about 13 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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