Haddad, Housam I

Haddad, Housam I is an individual health care provider with primary practice located at 187 Wolford Ave , Liberty KY 42539-3187. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Haddad, Housam I can be contacted via phone (606) 787-8348.

Contact Information

Primary practice address
187 Wolford Ave Liberty KY 42539-3187
Phone: (606) 787-8348
Fax: (606) 787-8925
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 31531 Kentucky

Profile Details

NPI number 1467422253
LBN Legal business name Haddad, Housam I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Feb 6th, 2012 - about 14 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 1467422253 NPPES
Kentucky MEDICAID 64315310

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