Eid, Hani

Eid, Hani is an individual health care provider with primary practice located at 1717 Olympia Way Suite 101, Longview WA 98632-3929. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Eid, Hani can be contacted via phone (360) 636-1900.

Contact Information

Primary practice address
1717 Olympia Way Suite 101 Longview WA 98632-3929
Phone: (360) 636-1900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DE00009669 Washington

Profile Details

NPI number 1528003944
LBN Legal business name Eid, Hani
Credentials DDS, MS.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528003944 NPPES
Washington MEDICAID 5045679

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