Hayatt, Samuel
Hayatt, Samuel is an sole proprietor health care provider with primary practice located at 4130 La Jolla Village Dr 105, La Jolla CA 92037-9121. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Hayatt, Samuel can be contacted via phone (858) 455-7777.Contact Information
Primary practice address
4130 La Jolla Village Dr 105
La Jolla CA 92037-9121
Phone: (858) 455-7777
Fax: (858) 455-7767
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 55781 | California |
Profile Details
| NPI number | 1932307329 |
|---|---|
| LBN Legal business name | Hayatt, Samuel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2007 |
| Last updated | Apr 1st, 2011 - about 13 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 | 1932307329 | NPPES |
| California | MEDICAID | D55781 |
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