Jimmy Charbel Haouilou
Surgeon Vascular Surgeon
29519 Harper Ave
Saint Clair Shores
, Michigan 48081
Jimmy Charbel Haouilou
Surgeon Vascular Surgeon
29519 Harper Ave
Saint Clair Shores
, Michigan 48081
(586) 270-5111
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Jimmy Charbel Haouilou
- 29519 Harper Ave
- Saint Clair Shores, MI
- Zip : 48081-1275
- Fax : (586) 270-5111
- Phone : (586) 270-5100
Second Address
- Jimmy Charbel Haouilou
- 29519 Harper Ave
- Saint Clair Shores, MI
- Zip : 48081
- Fax : (586) 270-5111
- Phone : (586) 270-5100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 4301084691 | MI |
| N | 208600000X | Surgeon | 4301084691 | MI |
| Y | 2086S0129X | Vascular Surgeon | 4301084691 | MI |
National Provider Identifier
| NPI | 1063676286 |
|---|---|
| Provider Name | Jimmy Charbel Haouilou |
| First Address | Saint Clair Shores, MI 48081-1275 |
| Second Address | Saint Clair Shores, MI 48081 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/07/2008 |
| Last Update Date | 24/07/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.