Provider Demographics
NPI:1225693690
Name:ROBLEH, HUSEN SALAH
Entity Type:Individual
Prefix:
First Name:HUSEN
Middle Name:SALAH
Last Name:ROBLEH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2612 1ST AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-1601
Mailing Address - Country:US
Mailing Address - Phone:612-249-6463
Mailing Address - Fax:612-254-8538
Practice Address - Street 1:2612 1ST AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-1601
Practice Address - Country:US
Practice Address - Phone:612-249-6463
Practice Address - Fax:612-254-8538
Is Sole Proprietor?:No
Enumeration Date:2019-05-01
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1096049-1-ADC372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion