Kousa, Haitham J
Kousa, Haitham J is an sole proprietor health care provider with primary practice located at 9485 Mentor Ave Ste 104 , Mentor OH 44060-8722. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kousa, Haitham J can be contacted via phone (440) 205-5770.Contact Information
Primary practice address
9485 Mentor Ave Ste 104
Mentor OH 44060-8722
Phone: (440) 205-5770
Fax: (440) 205-7202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 60918 | Ohio |
Profile Details
| NPI number | 1598774762 |
|---|---|
| LBN Legal business name | Kousa, Haitham J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 6th, 2006 |
| Last updated | Oct 15th, 2016 - about 10 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 | 1598774762 | NPPES |
| Ohio | MEDICAID | 0919911 |
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