Badaoui, Khalil Elias

Badaoui, Khalil Elias is an individual health care provider with primary practice located at 25 S Lapeer St , Lake Orion MI 48362-3167. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Badaoui, Khalil Elias can be contacted via phone (248) 693-4800.

Contact Information

Primary practice address
25 S Lapeer St Lake Orion MI 48362-3167
Fax: (248) 693-3539
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301007492 Michigan

Profile Details

NPI number 1073598967
LBN Legal business name Badaoui, Khalil Elias
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Jul 8th, 2007 - about 17 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 1073598967 NPPES
Michigan MEDICAID 4296109

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