Haileselassie, Etsub Negussie

Haileselassie, Etsub Negussie is an sole proprietor health care provider with primary practice located at 1702 Arbor Creek Dr. , Garland TX 75040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as his primary health care specialty. Haileselassie, Etsub Negussie can be contacted via phone (469) 269-7259.

Contact Information

Primary practice address
1702 Arbor Creek Dr. Garland TX 75040
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 454534 Texas

Profile Details

NPI number 1801312947
LBN Legal business name Haileselassie, Etsub Negussie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2017
Last updated Apr 30th, 2019 - about 5 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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