Eljack, Haitham

Eljack, Haitham is an individual health care provider with primary practice located at 7650 Gall Blvd , Zephyrhills FL 33541-4313. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is his primary health care specialty. Eljack, Haitham can be contacted via phone (813) 364-5890.

Contact Information

Primary practice address
7650 Gall Blvd Zephyrhills FL 33541-4313
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN23775 Florida
Dental Providers / Dentist 122300000X 2901021990 Michigan

Profile Details

NPI number 1518318401
LBN Legal business name Eljack, Haitham
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2016
Last updated Jul 1st, 2022 - about 3 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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