Haidar, Louie

Haidar, Louie is an individual health care provider with primary practice located at 12649 Poway Rd , Poway CA 92064-4415. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Haidar, Louie can be contacted via phone (858) 486-6100.

Contact Information

Primary practice address
12649 Poway Rd Poway CA 92064-4415
Phone: (858) 486-6100
Fax: (858) 486-4564
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 51780 California

Profile Details

NPI number 1114041456
LBN Legal business name Haidar, Louie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Dec 7th, 2017 - about 8 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 1114041456 NPPES
California MEDICAID D51780

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