Haddad, Charles J

Haddad, Charles J is an individual health care provider with primary practice located at 510 Superior Ave E , Cleveland OH 44114. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Haddad, Charles J can be contacted via phone (216) 621-3675.

Contact Information

Primary practice address
510 Superior Ave E Cleveland OH 44114
Phone: (216) 621-3675
Fax: (216) 621-9790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 30017739 Ohio

Profile Details

NPI number 1770563736
LBN Legal business name Haddad, Charles J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 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 1770563736 NPPES
Ohio MEDICAID 0560254

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