Habash, Edmond

Habash, Edmond is an individual health care provider with primary practice located at 3515 Broadway Ave Suite 107, Great Bend KS 67530-3633. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Habash, Edmond can be contacted via phone (620) 793-8429.

Contact Information

Primary practice address
3515 Broadway Ave Suite 107 Great Bend KS 67530-3633
Phone: (620) 793-8429
Fax: (620) 793-6014
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1500579 Kansas

Profile Details

NPI number 1194774901
LBN Legal business name Habash, Edmond
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Aug 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194774901 NPPES
Kansas MEDICAID 100359440B

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