Fadul, Issam M

Fadul, Issam M is an sole proprietor health care provider with primary practice located at 723 N Markoe St , Philadelphia PA 19139-2149. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Fadul, Issam M can be contacted via phone (267) 408-9895.

Contact Information

Primary practice address
723 N Markoe St Philadelphia PA 19139-2149
Phone: (267) 408-9895
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1902147309
LBN Legal business name Fadul, Issam M
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2013
Last updated Mar 9th, 2013 - about 13 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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