Haddad, Jiries T

Haddad, Jiries T is an individual health care provider with primary practice located at 9720 Dix , Dearborn MI 48120-1566. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Haddad, Jiries T can be contacted via phone (313) 841-1680.

Contact Information

Primary practice address
9720 Dix Dearborn MI 48120-1566
Phone: (313) 841-1680
Fax: (313) 841-3123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X JH047038 Michigan

Profile Details

NPI number 1447224043
LBN Legal business name Haddad, Jiries T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 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 1447224043 NPPES
Michigan MEDICAID 1737335

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