Al Ejeilat, Laith
Al Ejeilat, Laith is an individual health care provider with primary practice located at 3031 W Grand Blvd , Detroit MI 48202-3046. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Al Ejeilat, Laith can be contacted via phone (800) 653-6568.Contact Information
Primary practice address
3031 W Grand Blvd
Detroit MI 48202-3046
Phone: (800) 653-6568
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301506736 | Michigan |
Profile Details
| NPI number | 1174176333 |
|---|---|
| LBN Legal business name | Al Ejeilat, Laith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2019 |
| Last updated | Jun 28th, 2022 - about 4 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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