Hijjawi, John B

Hijjawi, John B is an individual health care provider with primary practice located at 5169 S Cottonwood St Ste 420 , Murray UT 84107-6769. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Hijjawi, John B can be contacted via phone (801) 507-1650.

Contact Information

Primary practice address
5169 S Cottonwood St Ste 420 Murray UT 84107-6769
Phone: (801) 507-1650
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 9715393-1205 Utah

Profile Details

NPI number 1114979812
LBN Legal business name Hijjawi, John B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Mar 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114979812 NPPES
Other 001863302G HUMANA
MEDICAID 1114979812 HUMANA

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