Haddad, Mark

Haddad, Mark is an individual health care provider with primary practice located at 221 Mahalani St , Wailuku HI 96793-2526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Haddad, Mark can be contacted via phone (808) 242-2290.

Contact Information

Primary practice address
221 Mahalani St Wailuku HI 96793-2526
Phone: (808) 242-2290
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 8521 Hawaii

Profile Details

NPI number 1861435430
LBN Legal business name Haddad, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 8th, 2007 - about 17 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 1861435430 NPPES
Hawaii MEDICAID 06989301

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