Haddad, Marisa Louise

Haddad, Marisa Louise is an individual health care provider with primary practice located at 3201 W Peoria Ave Ste B307, Phoenix AZ 85029-4608. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Haddad, Marisa Louise can be contacted via phone (602) 938-8400.

Contact Information

Primary practice address
3201 W Peoria Ave Ste B307 Phoenix AZ 85029-4608
Phone: (602) 938-8400
Fax: (602) 938-8401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0473 Arizona

Profile Details

NPI number 1831184134
LBN Legal business name Haddad, Marisa Louise
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Aug 7th, 2013 - about 12 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 1831184134 NPPES
Arizona MEDICAID 398322

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