Provider Information for 1477571990
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Mr. YOUSSEF HABIB LISW-S
Other Names:Other Name:JOSEPH HABIBSex: Male
NPI: 1477571990
Last Updated: 2023-08-30
Certification Date: 2023-08-30
Certification Date: 2023-08-30
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1477571990 | ||||||||||||||||||||
| Enumeration Date | 2006-07-17 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | 6605 W CENTRAL AVE TOLEDO, OH 43617-1000 United States Phone: 419-841-7701 | Fax:419-841-1691 | ||||||||||||||||||||
| Primary Practice Address | 536 CUSTER DR TOLEDO, OH 43612-3225 United States Phone: 419-913-7859 | Fax: | ||||||||||||||||||||
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