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Contact Information

HAZIM IBRAHIM, DPM
7527 THOROUGHBRED DR APT 3D
FORT WAYNE, IN46804
 Phone: 440-840-3692
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for HAZIM IBRAHIM · (Male)

NPI Number 1417337353
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/05/2015
Last updated 07/19/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 07001283A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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