Jabbour, Samer
Jabbour, Samer is an individual health care provider with primary practice located at 500 Wind Ridge Dr. , Wausau WI 54401-4173. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Jabbour, Samer can be contacted via phone (715) 847-2611.Contact Information
Primary practice address
500 Wind Ridge Dr.
Wausau WI 54401-4173
Phone: (715) 847-2611
Fax: (715) 847-2612
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 80983 | Massachusetts |
Profile Details
| NPI number | 1043215692 |
|---|---|
| LBN Legal business name | Jabbour, Samer |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Dec 29th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043215692 | NPPES |
| Other | 0034112 | NEIGHBORHOOD HEALTH PLAN | |
| Other | 6831013 | NEIGHBORHOOD HEALTH PLAN | |
| Other | AA19892 | NEIGHBORHOOD HEALTH PLAN | |
| Other | F83102 | NEIGHBORHOOD HEALTH PLAN | |
| MEDICAID | 3165078 | NEIGHBORHOOD HEALTH PLAN | |
| Other | 2733012 | NEIGHBORHOOD HEALTH PLAN | |
| Other | 969675 | NEIGHBORHOOD HEALTH PLAN | |
| Other | 771560 | NEIGHBORHOOD HEALTH PLAN | |
| Other | J17569 | NEIGHBORHOOD HEALTH PLAN | |
| Other | 25-03479 | NEIGHBORHOOD HEALTH PLAN | |
| Other | 30205047 | NEIGHBORHOOD HEALTH PLAN | |
| Other | P00187696 | NEIGHBORHOOD HEALTH PLAN |
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