Houssein O Ghoulame
Individual provider Active NPI Driver · Noblesville, IN
NPI 1083843965 · NPPES record last updated Jul 13, 2009
Key facts
- NPI
- 1083843965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- 0430-82-9020 (IN)
- Practice address
- 19453 Amber Way
Noblesville, IN 46060-8389 - Phone
- (317) 809-1055
- NPI assigned
- Jul 13, 2009
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 0430-82-9020 | IN | Yes |
Addresses
Primary practice location
19453 Amber Way
Noblesville, IN 46060-8389
Mailing address
19453 Amber Way
Noblesville, IN 46060-8389
Phone (317) 809-1055
Other names
- Mrs. Laura B Ghoulame
Other providers in Noblesville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.