Faddoul, Ebtisam
Faddoul, Ebtisam is an individual health care provider with primary practice located at 29 Hospital Plz Ste 501 , Stamford CT 06902-3602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Faddoul, Ebtisam can be contacted via phone (203) 276-4400.Contact Information
Primary practice address
29 Hospital Plz Ste 501
Stamford CT 06902-3602
Phone: (203) 276-4400
Fax: (203) 276-4401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 015255-1 | New York |
Profile Details
| NPI number | 1114294055 |
|---|---|
| LBN Legal business name | Faddoul, Ebtisam |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2011 |
| Last updated | Jul 19th, 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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