Jabara, Michael R

Jabara, Michael R is an individual health care provider with primary practice located at 1111 Leffingwell Ave Ne Ste 100, Grand Rapids MI 49525. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Jabara, Michael R can be contacted via phone (616) 459-7101.

Contact Information

Primary practice address
1111 Leffingwell Ave Ne Ste 100 Grand Rapids MI 49525
Phone: (616) 459-7101
Fax: (616) 464-6170
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 4301074259 Michigan
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4301074259 Michigan

Profile Details

NPI number 1306833462
LBN Legal business name Jabara, Michael R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Jun 28th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306833462 NPPES
Other P00243779 RR MEDICARE

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