Provider Demographics
NPI:1235673609
Name:ALOMAR, WALEED (CPR)
Entity Type:Individual
Prefix:
First Name:WALEED
Middle Name:
Last Name:ALOMAR
Suffix:
Gender:M
Credentials:CPR
Other - Prefix:
Other - First Name:WALID
Other - Middle Name:A
Other - Last Name:ALOMAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CCMA
Mailing Address - Street 1:631 SADIE CT
Mailing Address - Street 2:APT#91
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48906-3958
Mailing Address - Country:US
Mailing Address - Phone:517-303-0072
Mailing Address - Fax:
Practice Address - Street 1:631 SADIE CT APT T
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48906-3958
Practice Address - Country:US
Practice Address - Phone:517-303-0072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-05
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3422-7545246ZA2600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZA2600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherArt, Medical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3422-7545OtherCCMA.CPR