Haidous, Dalal M
Haidous, Dalal M is an individual health care provider with primary practice located at 10000 Telegraph Rd , Taylor MI 48180-3330. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Haidous, Dalal M can be contacted via phone (313) 295-6736.Contact Information
Primary practice address
10000 Telegraph Rd
Taylor MI 48180-3330
Phone: (313) 295-6736
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 5201008291 | Michigan |
Profile Details
| NPI number | 1760983050 |
|---|---|
| LBN Legal business name | Haidous, Dalal M |
| Credentials | OTRL |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2018 |
| Last updated | Feb 22nd, 2018 - about 6 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 | 1760983050 | NPPES |
| Michigan | MEDICAID | 1487605168 |
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