Provider Demographics
NPI:1366839565
Name:EDUARDO E HAIM
Entity Type:Organization
Organization Name:EDUARDO E HAIM
Other - Org Name:WORKMENS CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE PROPIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:E
Authorized Official - Last Name:HAIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-466-5657
Mailing Address - Street 1:2029 K ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-1004
Mailing Address - Country:US
Mailing Address - Phone:202-659-0220
Mailing Address - Fax:202-659-0222
Practice Address - Street 1:2029 K ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1004
Practice Address - Country:US
Practice Address - Phone:202-659-0220
Practice Address - Fax:202-659-0222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-25
Last Update Date:2015-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC9281261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC1588754592OtherNPI