Matloub, Hani S

Matloub, Hani S is an individual health care provider with primary practice located at 1155 N Mayfair Rd Plastic Surgery Center, Milwaukee WI 53226-3462. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Matloub, Hani S can be contacted via phone (414) 955-1000.

Contact Information

Primary practice address
1155 N Mayfair Rd Plastic Surgery Center Milwaukee WI 53226-3462
Phone: (414) 955-1000
Fax: (414) 955-0183
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 21948 Wisconsin

Profile Details

NPI number 1316998164
LBN Legal business name Matloub, Hani S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated May 1st, 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 1316998164 NPPES
Wisconsin MEDICAID 1316998164
Wisconsin Other 002000126C

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