Hailu, Theodoros
Hailu, Theodoros is an individual health care provider with primary practice located at 5000 W Oakland Park Blvd , Lauderdale Lakes FL 33313-1503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Hailu, Theodoros can be contacted via phone (954) 730-2750.Contact Information
Primary practice address
5000 W Oakland Park Blvd
Lauderdale Lakes FL 33313-1503
Phone: (954) 730-2750
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ME0089942 | Florida |
Profile Details
| NPI number | 1003880774 |
|---|---|
| LBN Legal business name | Hailu, Theodoros |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Jun 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003880774 | NPPES |
| Florida | MEDICAID | 270988100 | |
| Florida | Other | 50653 | |
| Florida | Other | P00290620 |
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