Omar, Suleiman M

Omar, Suleiman M is an sole proprietor health care provider with primary practice located at 3377 Riverbend Dr , Springfield OR 97477. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Omar, Suleiman M can be contacted via phone (541) 222-6389.

Contact Information

Primary practice address
3377 Riverbend Dr Springfield OR 97477
Phone: (541) 222-6389
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 54096 Colorado
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X DR.0054096 Colorado
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD179119 Oregon

Profile Details

NPI number 1851690317
LBN Legal business name Omar, Suleiman M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2011
Last updated Aug 3rd, 2018 - about 8 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 1851690317 NPPES
Oregon MEDICAID 500714111

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