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
Phone: (813) 364-5890
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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