Al-Ejel, Fawaz
Al-Ejel, Fawaz is an individual health care provider with primary practice located at 24623 Greenfield Rd , Southfield MI 48075-3058. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Al-Ejel, Fawaz can be contacted via phone (248) 290-3111.Contact Information
Primary practice address
24623 Greenfield Rd
Southfield MI 48075-3058
Phone: (248) 290-3111
Fax: (248) 290-3100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 4301056772 | Michigan |
Profile Details
| NPI number | 1871567651 |
|---|---|
| LBN Legal business name | Al-Ejel, Fawaz |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2006 |
| Last updated | Dec 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871567651 | NPPES |
| Michigan | MEDICAID | 3482020 |
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