Fawaz, Leila

Fawaz, Leila is an sole proprietor health care provider with primary practice located at 5472 Schaefer Road , Dearborn MI 48126. She recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as her primary health care specialty. Fawaz, Leila can be contacted via phone (313) 584-4600.

Contact Information

Primary practice address
5472 Schaefer Road Dearborn MI 48126
Phone: (313) 584-4600
Fax: (313) 584-3784
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 5302027842 Michigan

Profile Details

NPI number 1144690736
LBN Legal business name Fawaz, Leila
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2015
Last updated Sep 25th, 2015 - about 11 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 1144690736 NPPES
Michigan MEDICAID 2995488

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