Hallak, Omar
Hallak, Omar is an individual health care provider with primary practice located at 331 Laidley St Suite 402, Charleston WV 25301-1619. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Hallak, Omar can be contacted via phone (304) 345-2090.Contact Information
Primary practice address
331 Laidley St Suite 402
Charleston WV 25301-1619
Phone: (304) 345-2090
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 19813 | West Virginia |
Profile Details
| NPI number | 1689854929 |
|---|---|
| LBN Legal business name | Hallak, Omar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2007 |
| Last updated | Nov 4th, 2007 - about 18 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 | 1689854929 | NPPES |
| West Virginia | MEDICAID | 6000241000 |
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