Alzeidan, Fadi I
Alzeidan, Fadi I is an sole proprietor health care provider with primary practice located at 7863 Broadway , Merrillville IN 46410-5553. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Alzeidan, Fadi I can be contacted via phone (219) 769-6639.Contact Information
Primary practice address
7863 Broadway
Merrillville IN 46410-5553
Phone: (219) 769-6639
Fax: (219) 769-0636
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01053003 | Indiana |
Profile Details
| NPI number | 1245224724 |
|---|---|
| LBN Legal business name | Alzeidan, Fadi I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 9th, 2005 |
| Last updated | Nov 17th, 2020 - about 5 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 | 1245224724 | NPPES |
| Indiana | MEDICAID | 200300510 |
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