Fattal, Omar

Fattal, Omar is an individual health care provider with primary practice located at 1730 W 25Th St Suite 2A, Cleveland OH 44113-3108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Fattal, Omar can be contacted via phone (216) 363-2304.

Contact Information

Primary practice address
1730 W 25Th St Suite 2A Cleveland OH 44113-3108
Phone: (216) 363-2304
Fax: (216) 363-2356
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35084934 Ohio

Profile Details

NPI number 1215923974
LBN Legal business name Fattal, Omar
Credentials M.D., M.P.H.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Nov 9th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215923974 NPPES
Ohio Other 000000368726 ANTHEM
Ohio MEDICAID 2580167 ANTHEM

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