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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114979812 | NPPES |
| Other | 001863302G | HUMANA | |
| MEDICAID | 1114979812 | HUMANA |
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