| Alhallaq Llc | |
|
4568 Dressler Rd Nw Canton OH 44718-2546 | |
| (330) 259-1145 | |
| (330) 259-1140 |
| Full Name | Alhallaq Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4568 Dressler Rd Nw, Canton, Ohio |
| Authorized Official Name and Position | Yousif Alhallaq (OWNER) |
| Authorized Official Contact | 3302591145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alhallaq Llc 4568 Dressler Rd Nw Canton OH 44718-2546 Ph: (330) 259-1145 | Alhallaq Llc 4568 Dressler Rd Nw Canton OH 44718-2546 Ph: (330) 259-1145 |
| NPI Number | 1649650961 |
|---|---|
| Provider Enumeration Date | 06/02/2015 |
| Last Update Date | 07/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649650961 | NPI | - | NPPES |
| 3009229 | Medicaid | OH | |
| 1275659104 | Other | OH | NPI INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35094254 (Ohio) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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