Hassane, Haitham
Hassane, Haitham is an individual health care provider with primary practice located at 2601 W Main St , Carbondale IL 62901-1031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Hassane, Haitham can be contacted via phone (618) 549-5361.Contact Information
Primary practice address
2601 W Main St
Carbondale IL 62901-1031
Phone: (618) 549-5361
Fax: (618) 351-4878
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 036146447 | Illinois |
Profile Details
| NPI number | 1487065546 |
|---|---|
| LBN Legal business name | Hassane, Haitham |
| Credentials | MBBCH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2014 |
| Last updated | Oct 30th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487065546 | NPPES |
| Illinois | Other | 036.146447 | ILLINOIS PHYSICIAN LICENSE |
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