Massabni, Edgar J

Massabni, Edgar J is an individual health care provider with primary practice located at 3100 Shore Dr , Marinette WI 54143-4242. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Massabni, Edgar J can be contacted via phone (715) 735-8067.

Contact Information

Primary practice address
3100 Shore Dr Marinette WI 54143-4242
Phone: (715) 735-8067
Fax: (715) 732-8224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4301093535 Michigan
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 51186-20 Wisconsin
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 51186 Wisconsin

Profile Details

NPI number 1649236829
LBN Legal business name Massabni, Edgar J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Mar 30th, 2020 - about 6 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 1649236829 NPPES
Wisconsin Other 007100492 MEDICARE PTAN

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