Mansour, Waleed
Mansour, Waleed is an individual health care provider with primary practice located at 1397 S Canfield Niles Rd Unit 1, Austintown OH 44515-4084. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mansour, Waleed can be contacted via phone (330) 953-0129.Contact Information
Primary practice address
1397 S Canfield Niles Rd Unit 1
Austintown OH 44515-4084
Phone: (330) 953-0129
Fax: (330) 953-0650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 35078230M | Ohio |
Profile Details
| NPI number | 1740266352 |
|---|---|
| LBN Legal business name | Mansour, Waleed |
| Credentials | M.DL |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2005 |
| Last updated | Nov 30th, 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 | 1740266352 | NPPES |
| Ohio | Other | 181396874-0001 | PENNSYLVANIA MEDICAID |
| Ohio | MEDICAID | 2254180 | PENNSYLVANIA MEDICAID |
| Ohio | Other | P00164262 | PENNSYLVANIA MEDICAID |
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