Dagher, Walid Ibrahim
Dagher, Walid Ibrahim is an sole proprietor health care provider with primary practice located at 35 Pearl St Ste 100 , Brockton MA 02301-2866. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Dagher, Walid Ibrahim can be contacted via phone (508) 588-8034.Contact Information
Primary practice address
35 Pearl St Ste 100
Brockton MA 02301-2866
Phone: (508) 588-8034
Fax: (508) 588-5969
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 261906 | Massachusetts |
Profile Details
| NPI number | 1225219173 |
|---|---|
| LBN Legal business name | Dagher, Walid Ibrahim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2007 |
| Last updated | Apr 17th, 2018 - about 6 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 | 1225219173 | NPPES |
| Massachusetts | MEDICAID | 11010386A |
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