Ghattas, Edward G
Ghattas, Edward G is an individual health care provider with primary practice located at 26900 N Lake Pleasant Pkwy # 200 , Peoria AZ 85383-1394. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ghattas, Edward G can be contacted via phone (623) 561-3000.Contact Information
Primary practice address
26900 N Lake Pleasant Pkwy # 200
Peoria AZ 85383-1394
Phone: (623) 561-3000
Fax: (623) 561-3009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 005164 | Arizona |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5101011159 | Michigan |
Profile Details
| NPI number | 1164412466 |
|---|---|
| LBN Legal business name | Ghattas, Edward G |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Jan 20th, 2020 - about 5 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 | 1164412466 | NPPES |
| Michigan | Other | F78381 | HEALTH ALLIANCE PLAN |
| Michigan | Other | 080093523 | HEALTH ALLIANCE PLAN |
| Michigan | MEDICAID | 425169 | HEALTH ALLIANCE PLAN |
| Michigan | Other | 080D410020 | HEALTH ALLIANCE PLAN |
| Michigan | Other | 0852524385 | HEALTH ALLIANCE PLAN |
| Michigan | Other | 5895095 | HEALTH ALLIANCE PLAN |
| Michigan | Other | F78381 | HEALTH ALLIANCE PLAN |
| Michigan | Other | 080D410020 | HEALTH ALLIANCE PLAN |
| Michigan | Other | 204373 | HEALTH ALLIANCE PLAN |
| Michigan | MEDICAID | 3327505 | HEALTH ALLIANCE PLAN |
| Michigan | Other | C2472 | HEALTH ALLIANCE PLAN |
| Michigan | Other | 204373 | HEALTH ALLIANCE PLAN |
| Michigan | Other | 2341129003 | HEALTH ALLIANCE PLAN |
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