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
Phone: (715) 823-2222
Fax: (715) 823-6000
Website:
Health care specialties
| Specialty | Code | License # | 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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