Al Ejeilat, Laith

Al Ejeilat, Laith is an individual health care provider with primary practice located at 3031 W Grand Blvd , Detroit MI 48202-3046. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Al Ejeilat, Laith can be contacted via phone (800) 653-6568.

Contact Information

Primary practice address
3031 W Grand Blvd Detroit MI 48202-3046
Phone: (800) 653-6568
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301506736 Michigan

Profile Details

NPI number 1174176333
LBN Legal business name Al Ejeilat, Laith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2019
Last updated Jun 28th, 2022 - about 2 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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