Basyouni, Eitedal
Basyouni, Eitedal is an individual health care provider with primary practice located at 30701 Woodward Ave Suite 200, Royal Oak MI 48073-0987. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Basyouni, Eitedal can be contacted via phone (248) 288-9333.Contact Information
Primary practice address
30701 Woodward Ave Suite 200
Royal Oak MI 48073-0987
Phone: (248) 288-9333
Fax: (248) 288-1362
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 6401002100 | Michigan |
Profile Details
| NPI number | 1891092268 |
|---|---|
| LBN Legal business name | Basyouni, Eitedal |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2011 |
| Last updated | Feb 22nd, 2011 - about 13 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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