Haddad, Mark Dallas

Haddad, Mark Dallas is an individual health care provider with primary practice located at 6888 Lincoln Ave Suite E & H, Buena Park CA 90620. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Haddad, Mark Dallas can be contacted via phone (714) 229-9178.

Contact Information

Primary practice address
6888 Lincoln Ave Suite E & H Buena Park CA 90620
Phone: (714) 229-9178
Fax: (714) 229-9187
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HA3988 California

Profile Details

NPI number 1356364707
LBN Legal business name Haddad, Mark Dallas
Credentials MA DISPENSER AUDIOP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Mar 6th, 2008 - about 16 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 1356364707 NPPES
California MEDICAID HA0039880

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