Hakim, Souha S

Hakim, Souha S is an sole proprietor health care provider with primary practice located at 1418 E Michigan Ave , Jackson MI 49202-3518. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Hakim, Souha S can be contacted via phone (517) 783-1779.

Contact Information

Primary practice address
1418 E Michigan Ave Jackson MI 49202-3518
Phone: (517) 783-1779
Fax: (517) 783-1899
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 4301068721 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301068721 Michigan

Profile Details

NPI number 1699798249
LBN Legal business name Hakim, Souha S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2006
Last updated Jan 18th, 2021 - about 3 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 1699798249 NPPES
Michigan Other 03810061 BLUE CROSS BLUE SHIELD
Michigan Other 03810061 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 1044997-10 BLUE CROSS BLUE SHIELD

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