Mustafa, Mohammad Asim
Mustafa, Mohammad Asim is an sole proprietor health care provider with primary practice located at 461 N. Mulford Road Suite 12, Rockford IL 61107-5165. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Mustafa, Mohammad Asim can be contacted via phone (815) 398-1009.Contact Information
Primary practice address
461 N. Mulford Road Suite 12
Rockford IL 61107-5165
Phone: (815) 398-1009
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | Illinois |
Profile Details
| NPI number | 1639265259 |
|---|---|
| LBN Legal business name | Mustafa, Mohammad Asim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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