Hallak, Eli William

Hallak, Eli William is an individual health care provider with primary practice located at 200 Foothill Blvd , La Canada CA 91011-3700. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Hallak, Eli William can be contacted via phone (818) 790-0325.

Contact Information

Primary practice address
200 Foothill Blvd La Canada CA 91011-3700
Phone: (818) 790-0325
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X California

Profile Details

NPI number 1740244656
LBN Legal business name Hallak, Eli William
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 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 1740244656 NPPES
California Other 2255A2300X ATHLETIC TRAINER

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